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Individual

CHELSEA MORGAN DALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
440 LUFKIN DR, NEW LEBANON, OH 45345-1647
(937) 245-0957
Mailing address
440 LUFKIN DR, NEW LEBANON, OH 45345-1647
(937) 245-0957

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0410857
OH
Enumeration date
11/16/2020
Last updated
11/16/2020
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