Individual
MANDI L BAWIDAMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8981 ST RT 380, WILMINGTON, OH 45177-9035
(937) 728-1591
Mailing address
8981 ST RT 380, WILMINGTON, OH 45177-9035
(937) 728-1591
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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