Individual
VALERIE A POORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3115 IMPERIAL BLVD, SPRINGFIELD, OH 45503-1338
(330) 268-6276
Mailing address
3115 IMPERIAL BLVD, SPRINGFIELD, OH 45503-1338
(330) 268-6276
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
RN003423
OH
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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