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Individual

DEBORA KRENDL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 222-4045
Mailing address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 222-4045

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
.03358-NP
OH
363LN0005X
Critical Care Neonatal Nurse Practitioner
61181-COA-1
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0121150
OH
Enumeration date
02/12/2015
Last updated
05/28/2015
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