Individual
DEBRA KAY FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
1185 FOREST DR, BEAVERCREEK, OH 45434-7037
(937) 912-9047
(937) 912-9048
Mailing address
1185 FOREST DR, BEAVERCREEK, OH 45434-7037
(397) 912-9047
(937) 912-9048
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
400956310809
OH
Other
Enumeration date
01/09/2010
Last updated
01/09/2010
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