Individual
BRANDY L COOLEY-DEBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
659 BOULEVARD ST, DOVER, OH 44622-2026
(330) 602-0767
(330) 365-3831
Mailing address
659 BOULEVARD ST, DOVER, OH 44622-2026
(330) 602-0767
(330) 365-3831
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN292699
OH
Other
Enumeration date
01/22/2007
Last updated
04/21/2010
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