Individual
JASON BRUMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 HALE ST, WILMINGTON, OH 45177-2104
(937) 382-1621
Mailing address
120 CUSTER DRIVE, SARDINIA, OH 45171
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OT.006816
OH
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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