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1336136670
BRENT WILSON IMBODY
CENTERVILLE, OH
NPI
1336136670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: OH 35.063723)
Enumeration Date
2005-10-03
Last Update Date
2016-05-25
Business Address
-- BRENT WILSON IMBODY MD
330 N MAIN ST
CENTERVILLE, OH 45459-4465
Phone number: 937-435-1445
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Mailing Address
-- BRENT WILSON IMBODY MD
136 S LUDLOW ST
DAYTON, OH 45402-1813
Phone number: 937-499-8262
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