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Individual

DANIELLE LIGGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
187 W SCHROCK RD, WESTERVILLE, OH 43081-2890
(614) 355-7500
(614) 355-7533
Mailing address
DEPT 781625, DETROIT, MI 48278-1625
(614) 355-8000
(614) 355-2220

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S.1302577
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2846675
OH
Enumeration date
01/14/2016
Last updated
01/14/2016
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