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Individual

JUDI L DESIMIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, FNP-BC

Contact information

Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8842
(937) 395-8379
Mailing address
2115 LEITER RD, MIAMISBURG, OH 45342-3659
(937) 384-6800
(937) 384-6939

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN185319COA1
OH
363LF0000X
Family Nurse Practitioner
Primary
COA10443NP
OH

Other

Enumeration date
03/23/2009
Last updated
01/30/2023
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