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Individual

AURORA RIVENDALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3120 BURNET AVE STE 406, CINCINNATI, OH 45229-3022
(513) 584-8600
(513) 584-8619
Mailing address
3120 BURNET AVE STE 406, CINCINNATI, OH 45229-3022
(513) 584-8619
(513) 558-3477

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
57.026663
OH
2084P0800X
Psychiatry Physician
Primary
35139132
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/24/2015
Last updated
11/19/2021
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