Individual
CATHERINE DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
166 MADISON AVE, URBANA, OH 43078-1454
(937) 484-8778
Mailing address
166 MADISON AVE, URBANA, OH 43078-1454
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104561577899
—
OH
Enumeration date
06/25/2014
Last updated
06/25/2014
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