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Individual

SUSAN HORNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
10500 MONTGOMERY RD, CINCINNATI, OH 45242-4402
(513) 672-3309
(513) 672-3323
Mailing address
11490 SPRINGFIELD PIKE, CINCINNATI, OH 45246-3524
(513) 672-3309
(513) 672-3323

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
154573
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0774201
OH
05
200129660
IN
Enumeration date
08/09/2005
Last updated
12/21/2012
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