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Individual

MRS. BARBARA JEAN MARVET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4833 MONAC DR, TOLEDO, OH 43623-3750
(419) 472-6698
Mailing address
4833 MONAC DR, TOLEDO, OH 43623-3750
(419) 472-6698

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
EP84UV
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2808402
OH
Enumeration date
08/29/2008
Last updated
09/05/2008
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