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Individual

ELIZABETH JEAN MICHAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9950 W MASON RD, SIDNEY, OH 45365-9043
(937) 726-4825
Mailing address
9950 W MASON RD, SIDNEY, OH 45365-9043
(937) 726-4825

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
3747P1801X
Personal Care Attendant
376J00000X
Homemaker
Primary

Other

Enumeration date
03/11/2021
Last updated
03/11/2021
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