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Individual

AUTUMN DENINE WELCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3730 PINNACLE RD APT F, DAYTON, OH 45439-7969
(937) 231-5581
Mailing address
3730 PINNACLE RD APT F, DAYTON, OH 45439-7969
(937) 231-5581

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3087458
OH
Enumeration date
12/27/2018
Last updated
12/27/2018
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