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Individual
PATRICIA A RUDOLPH
Active
Individual
PATRICIA A RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
RK457865
OH
347C00000X
Private Vehicle
JMN1805
OH
3747P1801X
Personal Care Attendant
RK457865
OH
376J00000X
Homemaker
Primary
RK457865
OH
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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