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Individual

DEBORAH J KNUCKLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
5104 OVERLOOK DR, MASON, OH 45040-1830
(513) 652-7664
Mailing address
5104 OVERLOOK DR, MASON, OH 45040-1830
(513) 652-7664

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN259756
OH

Other

Enumeration date
05/30/2019
Last updated
05/30/2019
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