Individual
CHEYENNE JODENE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15452 COUNTY ROAD 274, COSHOCTON, OH 43812-8908
(740) 829-2329
(740) 829-2329
Mailing address
15452 COUNTY ROAD 274, COSHOCTON, OH 43812-8908
(740) 829-2329
(740) 829-2329
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 131924
OH
Other
Enumeration date
03/16/2007
Last updated
12/02/2008
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