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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Colleen · Colleen (Avery · Colleen Fisher (Daube | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | Provider ID: 2885865 | [sources] | |||
| First name | Colleen | [sources] | |||
| Last name | (Avery · Fisher (Daube | [sources] | |||
| NPI | 1417105081 | [sources] | |||
| Sector | 38 - Non-Agency Nurse PDN -- RN OR LPN | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers excluded or suspended from Ohio's Medicaid program.
United States · ODM
For experts: raw data explorer
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