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Individual

MISS ERICA FERRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
701 WEST BURGESS STREET, MOUNT VERNON, OH 43050
(740) 358-2649
Mailing address
701 W BURGESS ST, MOUNT VERNON, OH 43050-2103
(740) 358-2649

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.150931-M-IV
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PN.150931-M-IV
OH
Enumeration date
05/29/2014
Last updated
05/29/2014
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