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Individual

JOSEPH YEBOAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7695 POE AVE, DAYTON, OH 45414-2552
(216) 750-2600
Mailing address
10296 SPRINGFIELD PIKE STE 500, CINCINNATI, OH 45215-1194
(513) 942-4555

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0028947
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2910854
OH
Enumeration date
06/07/2021
Last updated
06/07/2021
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