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1114546777
LISA M DERITA
AKRON, OH
NPI
1114546777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH aprn.cnp.024835)
Enumeration Date
2020-04-14
Last Update Date
2020-04-14
Business Address
LISA M DERITA
337 STEVENSON AVE
AKRON, OH 44312-2625
Phone number: 330-329-4894
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Mailing Address
LISA M DERITA
337 STEVENSON AVE
AKRON, OH 44312-2625
Phone number: 330-329-4894
Copy
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