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Individual

JULIE KOELLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1241 SHAWHAN RD, MORROW, OH 45152-9695
(513) 865-5204
Mailing address
PO BOX 632572, CINCINNATI, OH 45263-2572
(513) 891-0022

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
274213
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2540049
OH
Enumeration date
07/13/2005
Last updated
03/04/2015
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