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Organization

VAMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY E RASPER (RN)
(937) 267-3972
Entity
Organization

Contact information

Practice address
4100 W 3RD ST, VAMC, DAYTON, OH 45428
(937) 267-3972
Mailing address
3468 OAKMONT AVE, DAYTON, OH 45429-3542
(937) 299-5860

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
RN 118536
OH

Other

Enumeration date
10/20/2006
Last updated
06/16/2008
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