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Individual

SYLVIE INSHUTI SIBOMANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
4700 SPRINGBORO PIKE STE C, MORAINE, OH 45439-1982
(937) 558-5100
Mailing address
2615 WAYLAND AVENUE, DAYTON, OH 45420
(937) 559-6205

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
019535
OH

Other

Enumeration date
08/28/2016
Last updated
01/10/2025
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