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Individual

MS. KARLA J. MCDONEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
1400 E 2ND ST, DEFIANCE, OH 43512-2440
(419) 784-1414
Mailing address
1400 E 2ND ST, DEFIANCE, OH 43512-2440
(419) 784-1414

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA04082NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000640379
ANTHEM
OH
Enumeration date
11/23/2005
Last updated
05/26/2010
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