Individual
DONNA DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1767 BRENTNELL AVE, COLUMBUS, OH 43219-1211
(614) 607-8308
Mailing address
1767 BRENTNELL AVE, COLUMBUS, OH 43219-1211
(614) 607-8308
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
135743
OH
Other
Enumeration date
10/03/2009
Last updated
10/03/2009
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