Individual
DAMON MAURICE LEGAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45267-0764
(513) 584-1000
(513) 584-1000
Mailing address
3200 BURNET AVE, 3 SOUTH, CINCINNATI, OH 45229-3019
(513) 585-5503
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
322933
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
COA-12153-NA
OH
Other
Enumeration date
01/18/2011
Last updated
01/03/2013
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