Individual
DANE GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 W SOUTH COLLEGE ST APT 2, YELLOW SPRINGS, OH 45387-1546
(937) 239-1882
Mailing address
203 W SOUTH COLLEGE ST APT 2, YELLOW SPRINGS, OH 45387-1546
(937) 239-1882
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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