Individual
ABAGAIL LEE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9086 BRYANT RD, WINDHAM, OH 44288-9721
(330) 842-2691
Mailing address
9086 BRYANT RD, WINDHAM, OH 44288-9721
(330) 842-2691
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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