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Individual

MRS. DIANN M HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCCA

Contact information

Practice address
3450 W CENTRAL AVE, 134, TOLEDO, OH 43606
(419) 534-3111
(419) 534-3113
Mailing address
3450 W CENTRAL AVE, 134, TOLEDO, OH 43606
(419) 534-3111
(419) 534-3113

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A00611
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0915102
OH
Enumeration date
09/06/2006
Last updated
07/08/2007
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