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Individual
MRS. LAVETTA DENISE KING
Active
Individual
MRS. LAVETTA DENISE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
185574
OH
374U00000X
Home Health Aide
601775150720
OH
Other
Enumeration date
05/12/2022
Last updated
05/30/2024
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