WILLIE RICHARDSON

DAYTON, OH
NPI1730776105
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy376J00000X Homemaker
Additional Taxonomies172A00000X Driver
(Licence: OH  RN752291)
Enumeration Date2020-12-30
Last Update Date2020-12-30
Business Address
WILLIE RICHARDSON
2413 ULRICH AVE
DAYTON, OH 45406-2620
Phone number: 937-305-2730
Mailing Address
WILLIE RICHARDSON
2413 ULRICH AVE
DAYTON, OH 45406-2620
Phone number: 937-305-2730
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