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Individual
MR. WILLIAM WELLS THARP
Active
Individual
MR. WILLIAM WELLS THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.138004.MEDS-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPN.138004.MEDS-IV
LICENSED PRACTICAL NURSE
OH
Enumeration date
06/18/2017
Last updated
06/18/2017
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