Individual
DEBORAH CAROL STAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11807 STATE ROUTE 118, ANSONIA, OH 45303-9726
(937) 338-3415
Mailing address
11807 STATE ROUTE 118, ANSONIA, OH 45303-9726
(937) 338-3415
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2143460
—
OH
Enumeration date
07/16/2006
Last updated
07/09/2007
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