Individual
ANTHONY JACOB CISNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
321 BROCONE DR, VANDALIA, OH 45377-1901
(937) 630-1901
Mailing address
321 BROCONE DR, VANDALIA, OH 45377-1901
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
OH
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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