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Individual

MISS GLYNDA LEIGH MIKOLAJEWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
6215 TROY PIKE, HUBER HEIGHTS, OH 45424-3646
(937) 236-8111
(937) 236-4877
Mailing address
919 LINCOLN ST, PIQUA, OH 45356-1623
(937) 271-4721
(937) 381-5003

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT-01508
OH

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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