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Individual

MS. TAMMY DEGNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2355 ROCKSPRING, TOLEDO, OH 43614
(419) 867-8026
Mailing address
2355 ROCKSPRING RD, TOLEDO, OH 43614-1659

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
400820371008
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2963397
OH
Enumeration date
09/01/2011
Last updated
09/01/2011
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