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Individual

MS. DEBORAH STRONG EBNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
61 S MARION ST, BLOOMVILLE, OH 44818-9201
(419) 983-1809
(419) 983-1806
Mailing address
61 S MARION ST, P.O. BOX 7, BLOOMVILLE, OH 44818-9201
(419) 983-1809
(419) 983-1806

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35031760
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
187373
OH
01
735486
BUCKEYE
OH
Enumeration date
09/16/2005
Last updated
03/11/2010
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