Individual
RAYMOND HARDESTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 BROWNS LN, COSHOCTON, OH 43812-2045
(740) 622-4852
Mailing address
201 BROWNS LN, COSHOCTON, OH 43812-2045
(174) 050-2845
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
00344
OH
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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