Individual
MRS. JEAN ANN VAN HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 GARDENIA DR, WAPAKONETA, OH 45895-1063
(419) 739-5012
(419) 739-5051
Mailing address
1102 GARDENIA DR, WAPAKONETA, OH 45895-1063
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN223887
OH
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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