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Individual

MS. DEBORAH N SANDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
6481 MOUNTAINEER TRAIL CT, REYNOLDSBURG, OH 43068-3934
(614) 626-0935
(614) 626-0935
Mailing address
6481 MOUNTAINEER TRAIL CT, REYNOLDSBURG, OH 43068-3934
(614) 626-0935
(614) 626-0935

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN058103
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2120458
INDEPENDENT PROVIDER NUM.
OH
Enumeration date
12/04/2006
Last updated
07/08/2007
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