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Individual

MS. DEBRA ANN TENNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
2001 PERRYSBURG HOLLAND DR., HOLLAND, OH 43528-8001
(419) 861-5099
Mailing address
11015 WEST ST, WHITEHOUSE, OH 43571-9631
(419) 877-9010

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OTA.01293
OH
172V00000X
Community Health Worker

Other

Enumeration date
12/03/2012
Last updated
12/03/2012
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