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Individual

SUSAN HAMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
8650 GOVERNORS HILL, 180, MASON, OH 45429
(513) 791-5766
Mailing address
6754 BIRDSONG WAY, MAINEVILLE, OH 45039
(513) 373-0117

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
02494
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02494
OH
Enumeration date
05/08/2012
Last updated
05/08/2012
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