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Individual

LENORA MAY HALM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IP

Contact information

Practice address
4176 STATE ROUTE 600, GIBSONBURG, OH 43431-9702
(419) 650-8184
Mailing address
4176 STATE ROUTE 600, GIBSONBURG, OH 43431-9702
(419) 650-8184

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2141168
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2141168
OH
Enumeration date
06/06/2007
Last updated
07/09/2007
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