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1053891168
KEVIN M DIRKSEN
CELINA, OH
NPI
1053891168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OH APRN.CNP.023488)
Enumeration Date
2018-08-17
Last Update Date
2020-08-10
Business Address
KEVIN M DIRKSEN APRN-CNP
801 PRO DR STE D2
CELINA, OH 45822-3307
Phone number: 419-586-6480
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Mailing Address
KEVIN M DIRKSEN APRN-CNP
200 SAINT CLAIR AVE
SAINT MARYS, OH 45885-2400
Phone number: 419-300-1129
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