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Individual

CHARMIAN D BOLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
700 N EPPINGTON DR, TROTWOOD, OH 45426-2520
(937) 422-8085
Mailing address
700 N EPPINGTON DR, TROTWOOD, OH 45426-2520
(937) 422-8085

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
5715819
OH

Other

Enumeration date
12/15/2020
Last updated
12/15/2020
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