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Individual

MINDY HASTIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4750 E GALBRAITH RD, STE. 207, CINCINNATI, OH 45236-6705
(513) 686-4840
(513) 686-4848
Mailing address
4750 E GALBRAITH RD, STE. 207, CINCINNATI, OH 45236-6705
(513) 686-4840
(513) 686-4848

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35051773H
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0626684
OH
Enumeration date
04/11/2006
Last updated
08/31/2011
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