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Individual

MS. BOBBIE JEAN LADD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
998 CONESTOGA DRIVE, COLUMBUS, OH 43213
(614) 759-9421
(614) 759-0263
Mailing address
6696 JENNYANN WAY, CANAL WINCHESTER, OH 43110
(614) 920-0188
(614) 920-4991

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN084637
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2200933
OH
Enumeration date
10/12/2006
Last updated
01/12/2008
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