Individual
DEBORAH DAUTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
676 WHEATFIELD DR, AURORA, OH 44202-9241
(330) 562-6941
Mailing address
676 WHEATFIELD DR, AURORA, OH 44202-9241
(330) 562-6941
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/14/2020
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