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1164430062
MYRA F MARDIS
DAYTON, OH
NPI
1164430062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OH RN286402)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
Ms. MYRA F MARDIS CRNA
2222 PHILADELPHIA DRIVE
DAYTON, OH 45406-1891
Phone number: 937-278-2612
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Mailing Address
Ms. MYRA F MARDIS CRNA
PO BOX 640446
CINCINNATI, OH 45264-0446
Phone number: 937-293-0247
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