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Individual

DEAMBER MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3512 BEVIS AVE, CINCINNATI, OH 45207-1329
(513) 693-1100
Mailing address
3512 BEVIS AVE, CINCINNATI, OH 45207-1329
(513) 693-1100

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN118155
OH

Other

Enumeration date
12/04/2016
Last updated
12/04/2016
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