Individual
SUSAN DISABATINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
418 W MARTINDALE RD, UNION, OH 45322-3005
(937) 832-6700
Mailing address
4001 OLD SALEM RD, ENGLEWOOD, OH 45322-2681
(937) 832-5000
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN212157
OH
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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