Individual
MS. DEBBIE LOU TENNANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
366 S LINDEN RD, MANSFIELD, OH 44906-7912
(419) 565-6110
Mailing address
366 S LINDEN RD, MANSFIELD, OH 44906-7912
(419) 565-6110
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN101659M-IV
OH
Other
Enumeration date
01/06/2013
Last updated
01/06/2013
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