Individual
MS. CONSHAY MIGNON DEBARDELABEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1688 ATSON LN, CINCINNATI, OH 45205-2901
(513) 921-3880
Mailing address
1688 ATSON LN, CINCINNATI, OH 45205-2901
(513) 921-3880
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.11287
OH
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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