Individual
JUSTIN THOMAS PERDUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
2663 CREEKWILLOW PL, GROVE CITY, OH 43123-1695
(614) 539-0185
Mailing address
2663 CREEKWILLOW PL, GROVE CITY, OH 43123-1695
(614) 539-0185
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R.N. 346511
OH
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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