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Individual

MRS. DEBORAH ANN WISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNS

Contact information

Practice address
3700 SOUTHERN BLVD STE 401, KETTERING, OH 45429-1226
(855) 500-2873
(937) 281-3913
Mailing address
3700 SOUTHERN BLVD STE 401, KETTERING, OH 45429-1265
(855) 500-2873
(937) 281-3913

Taxonomy

Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
RN167460
OH
364S00000X
Clinical Nurse Specialist
COA02210NS
OH
364SX0200X
Oncology Clinical Nurse Specialist
Primary
COA02210NS
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0067949
OH
Enumeration date
05/02/2007
Last updated
11/13/2020
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