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1285297044
KARLY JEAN LAKE
DAYTON, OH
NPI
1285297044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH LPN.140835.MEDS.IV)
Enumeration Date
2019-04-17
Last Update Date
2019-04-17
Business Address
KARLY JEAN LAKE
1 ELIZABETH PL
DAYTON, OH 45417-3445
Phone number: 937-813-1737
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Mailing Address
KARLY JEAN LAKE
1 ELIZABETH PL
DAYTON, OH 45417-3445
Phone number: 937-813-1737
Copy
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