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Individual

MISS SUSAN U COACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 872-7100
(513) 872-7385
Mailing address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 872-7100
(513) 872-7385

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4025419
KY
367500000X
Certified Registered Nurse Anesthetist
COA.12884.NA
OH
367500000X
Certified Registered Nurse Anesthetist
RN312112
PA

Other

Enumeration date
06/21/2011
Last updated
08/19/2024
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