Individual
MRS. CARRIE JO WHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
77 N HIGH ST, LOGAN, OH 43138-1601
(740) 277-5769
Mailing address
77 N HIGH ST, LOGAN, OH 43138-1601
(740) 277-5769
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN112624
OH
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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