Individual
DEBRA ANN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
174 MIDWAY BLVD, ELYRIA, OH 44035-2786
(440) 723-8997
Mailing address
174 MIDWAY BLVD, ELYRIA, OH 44035-2786
(440) 723-8997
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
143930
OH
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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