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1912500141
DWIGHT ANTHONY BRISTEL
CANAL WINCHESTER, OH
NPI
1912500141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: OH 2756544)
Enumeration Date
2020-11-19
Last Update Date
2020-11-19
Business Address
DWIGHT ANTHONY BRISTEL
6929 ELLEN BOAT LN
CANAL WINCHESTER, OH 43110-7913
Phone number: 614-778-6098
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Mailing Address
DWIGHT ANTHONY BRISTEL
6929 ELLEN BOAT LN
CANAL WINCHESTER, OH 43110-7913
Phone number: 614-778-6098
Copy
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