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Individual

MISS KATELYNN MARIE BAMBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
STNA

Contact information

Practice address
1429 SPAULDING RD, DAYTON, OH 45432-3716
(937) 542-2251
Mailing address
1429 SPAULDING RD., DAYTON, OH 45432-3716
(937) 542-2251

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401489870213
OH

Other

Enumeration date
08/31/2016
Last updated
08/31/2016
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