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Individual
MS. SUN'DA MARIE SIMMONS
Active
Individual
MS. SUN'DA MARIE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
261026090011
OH
247200000X
Other Technician
Primary
375397980296
OH
2472R0900X
Renal Dialysis Technician
209090
OH
Other
Enumeration date
10/13/2010
Last updated
10/26/2010
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