Individual
DIANE LEE YEAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
136 E INDIANA AVE, SEBRING, OH 44672-1431
(330) 614-4000
Mailing address
136 E INDIANA AVE, SEBRING, OH 44672-1431
(330) 614-4000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.136740-M-IV
OH
Other
Enumeration date
08/04/2013
Last updated
08/04/2013
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