Individual
MR. JACOB R FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN-IV
Contact information
Practice address
1016 2ND ST, LANCASTER, OH 43130-4607
(740) 503-1934
Mailing address
1016 2ND ST, LANCASTER, OH 43130-4607
(740) 503-1934
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 129393
OH
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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