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Individual

MYKENZIE TOWNSEND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5130 EAST ST NE, LONDON, OH 43140-9654
(740) 506-2132
Mailing address
5130 EAST ST NE, LONDON, OH 43140-9654

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
07/17/2023
Last updated
07/17/2023
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