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Organization

DIANE BORCHELT, NP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE MARIE BORCHELT MS, NP (OWNER)
(513) 753-8112
Entity
Organization

Contact information

Practice address
17 EAGLE CT, AMELIA, OH 45102-2162
(513) 753-8112
Mailing address
17 EAGLE CT, AMELIA, OH 45102-2162
(513) 753-8112

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
09469
OH

Other

Enumeration date
01/19/2010
Last updated
01/19/2010
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