Individual
EMILY MARLENE GEPHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2065 S 11TH ST, COSHOCTON, OH 43812-9141
(740) 622-3629
Mailing address
2065 S 11TH ST, COSHOCTON, OH 43812-9141
(740) 622-3629
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0900008
OH
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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