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Organization

TRIHEALTH SENIORLINK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DONNA RAE MYERSON RN (CLINIC MANAGER)
(513) 458-8845
Entity
Organization

Contact information

Practice address
4750 WESLEY AVE, CINCINNATI, OH 45212-2244
(513) 531-5110
(513) 531-1327
Mailing address
4750 WESLEY AVE, CINCINNATI, OH 45212-2244
(513) 531-5110
(513) 531-1327

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
160163WA2000X
OH

Other

Enumeration date
08/15/2012
Last updated
08/15/2012
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