Individual
ANDREA BORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6135 TRUST DR STE 230, HOLLAND, OH 43528-9360
(567) 703-8696
Mailing address
10835 RAMM RD, WHITEHOUSE, OH 43571-9384
(567) 277-6917
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F02190332
OH
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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