Individual
BONNIE SUE PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
373 LEBANON ST, MONROE, OH 45050-1408
(513) 539-5123
Mailing address
373 LEBANON ST, MONROE, OH 45050-1408
(513) 539-5123
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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