Individual
DEBRA CHARLENE HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
195 S BUCKEYE ST, CROOKSVILLE, OH 43731
(740) 624-8289
Mailing address
195 S BUCKEYE ST, CROOKSVILLE, OH 43731
(740) 624-8289
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN105626
OH
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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