RUSTY CAPTAIN

BAINBRIDGE, OH
NPI1518501493
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-11-04
Last Update Date2019-11-04
Business Address
RUSTY CAPTAIN
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612-1500
Phone number: 740-634-3094
Mailing Address
RUSTY CAPTAIN
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612-1500
Phone number: 740-634-3094
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