UNKNOWN DOC

DAYTON, OH
NPI1851994321
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2020-11-18
Last Update Date2020-11-18
Business Address
UNKNOWN DOC
620 W GRAND AVE
DAYTON, OH 45406-5315
Phone number: 610-441-3578
Mailing Address
UNKNOWN DOC
620 W GRAND AVE
DAYTON, OH 45406-5315
Phone number: 610-441-3578
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