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Organization
COURTENAY CLEVENGER
Active
Organization
COURTENAY CLEVENGER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COURTENAY LYNN CLEVENGER STNA (STNA)
(740) 506-5650
Entity
Organization
Contact information
Practice address
3549 RIVA TRACE DR, CEDARVILLE, OH 45314-8586
(740) 506-5650
Mailing address
3549 RIVA TRACE DR, CEDARVILLE, OH 45314-8586
(740) 506-5650
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
401492380313
OH
Other
Enumeration date
03/07/2015
Last updated
03/07/2015
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