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Individual

ALYSSA MARJORIE BECKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
75 BANTING DR, GEORGETOWN, OH 45121-1460
(937) 378-4811
Mailing address
275 WAYNOKA DR, LAKE WAYNOKA, OH 45171-9230
(231) 886-0549

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.165751.MEDS-IV
OH

Other

Enumeration date
05/14/2019
Last updated
05/14/2019
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