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1942897731
SUZANNE E DETTY
CHILLICOTHE, OH
NPI
1942897731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
(Licence: OH 4064300)
Enumeration Date
2020-12-28
Last Update Date
2020-12-28
Business Address
SUZANNE E DETTY
2614 LICK RUN RD
CHILLICOTHE, OH 45601-9453
Phone number: 740-710-2327
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Mailing Address
SUZANNE E DETTY
2614 LICK RUN RD
CHILLICOTHE, OH 45601-9453
Phone number: 740-710-2327
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