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Individual

HALEY BILS PILKENTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
405 W GRAND AVE, DAYTON, OH 45405-7538
(419) 889-8465
Mailing address
9470 COPPERTON DR, CENTERVILLE, OH 45458-3962
(419) 889-8465

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
392218
OH
367500000X
Certified Registered Nurse Anesthetist
116832
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
116832
OH

Other

Enumeration date
06/11/2017
Last updated
06/29/2021
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