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Individual

DEBBIE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
(440) 953-9999
(440) 918-3839
Mailing address
38882 MENTOR AVENUE, WILLOUGHBY, OH 44094
(440) 953-9999
(440) 918-3839

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN131063
OH

Other

Enumeration date
09/09/2014
Last updated
09/09/2014
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