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Individual

MRS. GIFTY BOATENG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PROVIDER

Contact information

Practice address
945 SLEEPY HOLLOW DR, MONROE, OH 45050-1759
(513) 360-0865
Mailing address
945 SLEEPY HOLLOW DR, MONROE, OH 45050-1759
(513) 360-0865

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
3651560
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3030106
OH
Enumeration date
05/31/2012
Last updated
05/31/2012
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