Individual
MRS. DONNA MARIE KELLER OSSIPOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7058 W PEBBLE VALLEY DR, TUCSON, AZ 85757-8745
(520) 271-4685
(520) 297-1956
Mailing address
7058 W PEBBLE VALLEY DR, TUCSON, AZ 85757-8745
(520) 271-4685
(520) 297-1956
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP033661
AZ
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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