Individual
DEBORAH K MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1088 WASSERMAN WAY, BATAVIA, OH 45103
(513) 735-8100
(513) 354-7115
Mailing address
1501 MADISON RD, WALNUT HILLS, OH 45206-1706
(513) 354-7100
(513) 354-7115
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.163068.MEDS-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
LICENSURE BOARD
OH
Enumeration date
06/04/2018
Last updated
06/04/2018
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