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Individual

MRS. DAWN CAMILLE GAMBLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1042 BERMUDA CIR, MARION, OH 43302-1608
(740) 382-3247
Mailing address
1042 BERMUDA CIR, MARION, OH 43302-1608
(740) 382-3247

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN113098
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2695570
OH
Enumeration date
05/04/2007
Last updated
03/01/2016
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