Individual
MRS. CALLIE SUE GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
2201 STATE ROUTE 4, BELLEVUE, OH 44811-9742
(419) 483-0608
Mailing address
2201 ST. RT. 4, BELLEVUE, OH 44811
(419) 483-0608
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 1106613
OH
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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