Individual
ASHLEY DOUGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4434 BEECHER AVE, DAYTON, OH 45420-3123
(937) 369-6418
Mailing address
4434 BEECHER AVE, DAYTON, OH 45420-3123
(937) 369-6418
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
154402
OH
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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