Provider Information for 1366897555
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DASHANNE AUSTIN LISW
Other Names:Former Name:DASHANNE CZEGLEDY LSWSex: Female
NPI: 1366897555
Last Updated: 2019-05-15
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1366897555 | ||||||||
| Enumeration Date | 2016-04-26 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 830 N SUMMIT ST STE. 2 TOLEDO, OH 43604-1884 United States Phone: 419-693-9600 | Fax: | ||||||||
| Primary Practice Address | 830 N SUMMIT ST STE. 2 TOLEDO, OH 43604-1884 United States Phone: 419-693-9600 | Fax: | ||||||||
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