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Individual

DONNA JEAN BUNNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
87 N KANSAS RD, ORRVILLE, OH 44667-9638
(330) 718-6918
Mailing address
87 N KANSAS RD, ORRVILLE, OH 44667-9638

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0118462
OH
Enumeration date
10/04/2020
Last updated
10/04/2020
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