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Individual

MRS. AILEEN GAIL OLDENBURGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5843 MELODY LN, MENTOR ON THE LAKE, OH 44060-3135
(440) 257-1850
Mailing address
5843 MELODY LANE, MENTOR ON THE LAKE, OH 44060-3135
(440) 257-1850
(440) 257-1850

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2432344
OH
Enumeration date
02/27/2007
Last updated
07/09/2007
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