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Individual

MRS. KARLA SUZANNE LEACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
812 N PENNSYLVANIA AVE, WELLSTON, OH 45692-9228
(740) 384-2938
Mailing address
812 N PENNSYLVANIA AVE, WELLSTON, OH 45692-9228
(740) 384-2938

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
297474
OH

Other

Enumeration date
08/11/2010
Last updated
08/11/2010
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