Individual
DIXIE HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
507 S PINE ST, DESHLER, OH 43516-1314
(419) 601-2651
Mailing address
507 S PINE ST, DESHLER, OH 43516-1314
(419) 601-2651
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-077669-M-IV
OH
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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