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India Nicole Coleman, LPN

Licensed Practical Nurse in Huber Heights, OH. Individual provider (NPI-1).

NPI number1609400449
StatusActive
Last updated in NPPESMar 2, 2020

Details

NPI
1609400449
Entity type
Individual (NPI-1)
Name
Ms. India Nicole Coleman
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 2, 2020
Certification date
Mar 2, 2020
Last updated
Mar 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseLPN.170022.MEDS-IVOHYes

Practice location

5941 Longford Rd
Huber Heights, OH 45424-2942

Phone 937-367-7360

Mailing address

5941 Longford Rd
Huber Heights, OH 45424-2942

Phone 937-367-7360

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