Provider Information for 1669913828
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SIRENA ROBINSON
Sex: Female
NPI: 1669913828
Last Updated: 2017-03-20
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1669913828 | ||||||||
| Enumeration Date | 2017-03-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 224 COLUMBUS RD ATHENS, OH 45701-1334 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 224 COLUMBUS RD ATHENS, OH 45701-1334 United States Phone: 740-592-6724 | Fax: | ||||||||
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