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Individual

MISS DEBRA JJO COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
608 W WOOD ST, MALVERN, OH 44644-9478
(330) 575-4711
Mailing address
608 W WOOD ST, MALVERN, OH 44644-9478
(330) 575-4711

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
OH

Other

Enumeration date
01/26/2021
Last updated
01/26/2021
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