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Individual

MS. DEONNA LENISE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5720 SWAN CREEK DR, TOLEDO, OH 43614-1103
(419) 215-5898
Mailing address
5720 SWAN CREEK DR, TOLEDO, OH 43614-1103
(419) 215-5898

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
166459
OH

Other

Enumeration date
10/26/2018
Last updated
10/26/2018
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