Individual
DAWN HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 756-1717
Mailing address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN141593-M-IV
OH
Other
Enumeration date
03/31/2015
Last updated
10/29/2019
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