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1467196626
EBONY LATREASE MINOR
DAYTON, OH
NPI
1467196626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Additional Taxonomies
374U00000X Home Health Aide
Enumeration Date
2022-04-25
Last Update Date
2022-04-25
Business Address
EBONY LATREASE MINOR
101 BLAIRWOOD DR
DAYTON, OH 45426-2813
Phone number: 937-520-3335
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Mailing Address
EBONY LATREASE MINOR
101 BLAIRWOOD DR
DAYTON, OH 45426-2813
Phone number: 937-520-3335
Copy
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