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Individual

ANTHONY ENDSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
2014 W BATAAN DR, KETTERING, OH 45420-3648
(949) 680-5976
Mailing address
2014 W BATAAN DR, KETTERING, OH 45420-3648
(949) 680-5976

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
392313
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0147925
OH
Enumeration date
06/02/2016
Last updated
06/02/2016
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