Individual
CASEY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
811 N MIAMI AVE, SIDNEY, OH 45365-2157
(937) 879-3926
Mailing address
811 N MIAMI AVE, SIDNEY, OH 45365-2157
(937) 879-3926
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 159089-M-IV
OH
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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