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Individual

MR. LLOYD DAVID DEHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
14555 NEWHARMONY SALEM RD, MOUNT ORAB, OH 45154
(315) 253-3395
Mailing address
14555 NEWHARMONY SALEM RD, MOUNT ORAB, OH 45154
(315) 253-3395

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NBR2981626
OH
Enumeration date
11/03/2020
Last updated
11/03/2020
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