Dedra Leann Charles, LPN
NPI #1710235718 in South Webster, Ohio
Provider Information
- NPI Number
- 1710235718
- Entity Type
- Individual
- Name
- Dedra Leann Charles, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Aug 22, 2012
- Last Updated
- Aug 22, 2012
Practice Location
- Address
- 1004 SUGAR CAMP JACKSON FORK RD
- City
- South Webster
- State
- Ohio
- ZIP Code
- 45682-9033
- Phone
- (740) 285-0326
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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