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Individual

ANDREA LYNN RISNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
STNA

Contact information

Practice address
349 WHITE CLIFFS CT, SPRINGFIELD, OH 45503-1149
(937) 244-9101
Mailing address
349 WHITE CLIFFS CT, SPRINGFIELD, OH 45503-1149
(937) 244-9101

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400729710308
OH

Other

Enumeration date
03/30/2012
Last updated
03/30/2012
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