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Individual

JUDY A DAUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.R.N.A.

Contact information

Practice address
1101 DECATUR ST, SANDUSKY, OH 44870-3335
(918) 543-1020
(918) 543-2103
Mailing address
PO BOX 190, INOLA, OK 74036-0190
(918) 543-1020
(918) 543-2103

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN109263
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000237364
ANTHEM
OH
01
371420179003
MEDICAL MUTUAL
OH
Enumeration date
03/23/2006
Last updated
07/08/2007
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