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Organization

MARJEANNE R FISHER

Active
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Organization

MARJEANNE R FISHER

Active
Other names
new image breast prosthesis
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARJEANNE ROSE FISHER (OWNER)
(513) 867-1184
Entity
Organization

Contact information

Practice address
765 BEISSINGER RD, HAMILTON, OH 45013-9762
(513) 867-1184
Mailing address
4406 HUSTON RD, HAMILTON, OH 45013-9762
(513) 867-1184

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
RN137249
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0903982
OH
Enumeration date
06/08/2006
Last updated
06/18/2008
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