Individual
MISS BOBBIE ANN ADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
765 PIERCE DR, COLUMBUS, OH 43223-2425
(614) 223-1650
Mailing address
226 E MARK ST, MARION, OH 43302-2407
(740) 262-7037
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.154650.MEDS-IV
OH
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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