Individual
DEBORAH HOTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
3272 MACK RD, FAIRFIELD, OH 45014-5339
(513) 253-1539
Mailing address
3272 MACK RD, FAIRFIELD, OH 45014-5339
(513) 253-1539
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN080458
OH
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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