Individual
DAWN HAZELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 E HOME RD, SPRINGFIELD, OH 45504-1014
(937) 925-5743
Mailing address
130 E HOME RD, SPRINGFIELD, OH 45504-1014
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN279517
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2983976
—
OH
Enumeration date
03/12/2007
Last updated
07/09/2007
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