Individual
JIMMY LEE DENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 COMPTON RD UNIT 27, CINCINNATI, OH 45231-3850
(513) 498-6804
Mailing address
1536 KARAHILL DR, CINCINNATI, OH 45240-2202
(513) 498-6804
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RR573286
OH
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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