Individual
MISS DOROTHY MARIE COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2202 OUTVILLE RD, ALEXANDRIA, OH 43001
(740) 924-9472
Mailing address
875 SHIPLETT ROAD, ZANESVILLE, OH 43701
(740) 453-6481
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN085404
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2195468
—
OH
Enumeration date
02/21/2007
Last updated
07/08/2007
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