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Individual

DEBORAH A HANES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.N.P.

Contact information

Practice address
2050 KENNY RD, COLUMBUS, OH 43221-3502
(614) 293-8054
(614) 293-4890
Mailing address
2050 KENNY RD, COLUMBUS, OH 43221-3502
(614) 293-8054
(614) 293-4890

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN234429
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.06197.NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2467692
OH
Enumeration date
04/10/2006
Last updated
06/20/2015
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