Individual
MRS. DEBORAH KAY HAVERDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1540 SOUTHWOOD DR, ASHLAND, OH 44805-3446
(419) 281-2190
Mailing address
1095 E HANLEY RD, MANSFIELD, OH 44903-7311
(419) 774-0153
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 179951
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2618760
—
OH
Enumeration date
08/03/2006
Last updated
07/09/2007
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