Individual
BETSI DAWN EIKLEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
986 KENILWORTH AVE, COSHOCTON, OH 43812-2342
(740) 575-4439
Mailing address
986 KENILWORTH AVE, COSHOCTON, OH 43812-2342
(740) 575-4439
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 129255-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2655916
—
OH
Enumeration date
04/28/2008
Last updated
04/28/2008
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