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Individual

CLAVER NDATABAYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5632 CHIMNEY CIR, KETTERING, OH 45440-4259
(207) 420-7669
Mailing address
5632 CHIMNEY CIR, KETTERING, OH 45440-4259
(207) 420-7669

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
10/10/2021
Last updated
10/10/2021
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