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Organization

CARE CHOICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BAKOH MARTILDA AYUKNDANG CNP (OWNER)
(331) 250-2493
Entity
Organization

Contact information

Practice address
838 WILLOWBROOK DR, MONROE, OH 45050-1755
(331) 250-2493
Mailing address
838 WILLOWBROOK DR, MONROE, OH 45050-1755
(331) 250-2493

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
05/13/2026
Last updated
05/13/2026
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