Individual
DEBORAH A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3640 MANSFIELD ADARIO RD, MANSFIELD, OH 44903-9192
(419) 524-9326
Mailing address
3640 MANSFIELD ADARIO RD, MANSFIELD, OH 44903-9192
(419) 524-9326
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 048268 M-IV
OH
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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