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Individual

MR. BENJAMIN ODOI LARTEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
1500 SHERWOOD DR APT 1M, FAIRFIELD, OH 45014-4161
(513) 829-1195
Mailing address
1500 SHERWOOD DR APT 1M, FAIRFIELD, OH 45014-4161
(513) 829-1195

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 138024
OH

Other

Enumeration date
06/17/2013
Last updated
06/17/2013
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