Individual
CATHY LORRAINE HARLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
601 W SANDUSKY AVE, BELLEFONTAINE, OH 43311-1243
(193) 744-1282
Mailing address
601 W SANDUSKY AVE, BELLEFONTAINE, OH 43311-1243
(193) 744-1282
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.155412.MEDS-IV
OH
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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