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Individual

MRS. DORETTA EASLEY RUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COSMETOLOGIST

Contact information

Practice address
345 GRANDVILLE STREET SUITE D, ENEFFECT HAIR DESIGN INC, GAHANNA, OH 43230-3350
(614) 471-5471
Mailing address
345 GRANDVILLE STREET SUITE D, ENEFFECT HAIR DESIGN INC, GAHANNA, OH 43230-3350
(614) 471-5471

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
COSM774250
OH

Other

Enumeration date
07/03/2008
Last updated
07/03/2008
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