Provider Information for 1942624127
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MARY DOWNER LISW
Sex: Female
NPI: 1942624127
Last Updated: 2014-02-10
Certification Date:
Certification Date:
Details
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NPI | 1942624127 | ||||||||
Enumeration Date | 2014-02-10 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 31 STONEMILL RD DAYTON, OH 45409-2526 United States Phone: 937-285-5294 | Fax: | ||||||||
Primary Practice Address | 8668 MIAMISBURG SPRINGBORO RD MIAMISBURG, OH 45342-3493 United States Phone: 937-865-0011 | Fax: | ||||||||
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