Provider Information for 1326547860
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STEPHANIE POWERS LISW
Sex: Female
NPI: 1326547860
Last Updated: 2022-07-01
Certification Date: 2022-07-01
Certification Date: 2022-07-01
Details
Name | Value | ||||||||||||
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NPI | 1326547860 | ||||||||||||
Enumeration Date | 2018-02-11 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | PO BOX 7052 CINCINNATI, OH 45205-7052 United States Phone: | Fax: | ||||||||||||
Primary Practice Address | 704 ELBERON AVE CINCINNATI, OH 45205-2304 United States Phone: 215-821-9552 | Fax: | ||||||||||||
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