Individual
MARY DESKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 E BROWN AVE, BELLEFONTAINE, OH 43311-2267
(937) 935-3808
Mailing address
225 E BROWN AVE, BELLEFONTAINE, OH 43311-2267
(937) 935-3808
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
OH
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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