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Individual

DEBORAH SUMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
(937) 534-1579
Mailing address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
(937) 534-1579

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN161678
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.16168
OH

Other

Enumeration date
02/24/2016
Last updated
10/13/2021
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