JEREMY ALLEN DISBENNETT

CHILLICOTHE, OH
NPI1659000164
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  137896)
Enumeration Date2022-06-09
Last Update Date2022-06-09
Business Address
JEREMY ALLEN DISBENNETT
17273 STATE ROUTE 104
CHILLICOTHE, OH 45601-9718
Phone number: 740-773-1141
Mailing Address
JEREMY ALLEN DISBENNETT
2200 THORNTON SPUNG RD
KINGSTON, OH 45644-8901
Phone number: