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1376091629
DEASA HOLLY
CINCINNATI, OH
NPI
1376091629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
302F00000X Exclusive Provider Organization
(Licence: OH 302F00000X)
Enumeration Date
2016-09-15
Last Update Date
2016-09-15
Business Address
-- DEASA HOLLY
2473 TIMBERCROFT CT
CINCINNATI, OH 45239-6614
Phone number: 513-680-3371
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Mailing Address
-- DEASA HOLLY
2473 TIMBERCROFT CT
CINCINNATI, OH 45239-6614
Phone number: 513-680-3371
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