Individual
MRS. DEANA S CUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 BAYBERRY LN, COSHOCTON, OH 43812-3128
(740) 610-4070
Mailing address
1801 BAYBERRY LN, COSHOCTON, OH 43812-3128
(740) 610-4070
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
ESE9877
OH
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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