Individual
DAZZMINE COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1348 CHESTNUT ST, LIMA, OH 45804-2542
(740) 244-0581
Mailing address
1348 CHESTNUT ST, LIMA, OH 45804-2542
(740) 244-0581
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.156663
OH
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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