Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Women's Health
Enumerated
Feb 21, 2007
License(s)
NP08991 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 30 E APPLE ST SUITE 3200 | Dayton, OH 45409-2939 | 937-208-2325 |
| MAILING | 1059 GLENHOLLOW CT | Fairborn, OH 45324-9234 | 937-879-3528 |
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