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Individual

MR. GENE REDMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
INDEPENDENT MEDCAID

Contact information

Practice address
7118 STATE ROUTE 335, PORTSMOUTH, OH 45662
(740) 820-5891
(740) 820-5891
Mailing address
7118 STATE ROUTE 335, PORTSMOUTH, OH 45662
(740) 820-5891
(740) 820-5891

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2402751
OH
Enumeration date
01/19/2007
Last updated
07/08/2007
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