Individual
MRS. DORRENA LEA DECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
341 E. MAIN ST., CLARKSVILLE, OH 45113
(937) 289-2455
Mailing address
3526 ANTIOCH RD, WILMINGTON, OH 45177-8745
(937) 382-5311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-04250
OH
Other
Enumeration date
12/18/2006
Last updated
04/28/2009
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