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Individual

WENDELLIN RIGBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
836 KRUPP DR, FAYETTEVILLE, OH 45118-9442
(513) 316-9924
Mailing address
836 KRUPP DR, FAYETTEVILLE, OH 45118-9442
(513) 316-9924

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RK629716
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0402257
OH
Enumeration date
11/13/2020
Last updated
11/13/2020
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