KARLY JEAN LAKE

DAYTON, OH
NPI1285297044
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  LPN.140835.Meds.IV)
Enumeration Date2019-04-17
Last Update Date2019-04-17
Business Address
KARLY JEAN LAKE
1 ELIZABETH PL
DAYTON, OH 45417-3445
Phone number: 937-813-1737
Mailing Address
KARLY JEAN LAKE
1 ELIZABETH PL
DAYTON, OH 45417-3445
Phone number: 937-813-1737
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