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Individual

DE'SHAUNA BYRD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4490 ASPEN LAKE DR STE 312, BRUNSWICK, OH 44212-4548
(216) 832-8716
Mailing address
4490 ASPEN LAKE DR STE 312, BRUNSWICK, OH 44212-4548
(216) 832-8716

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
OH
172A00000X
Driver
376J00000X
Homemaker
Primary

Other

Enumeration date
06/03/2024
Last updated
06/10/2024
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