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Individual

HAZEL DAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IP

Contact information

Practice address
2648 RUNWAY AVE, APT B, BETHEL, OH 45106
(513) 734-3233
Mailing address
2648 RUNWAY AVE, APT B, BETHEL, OH 45106
(513) 734-3233

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2747031
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2747031
OH
Enumeration date
06/12/2008
Last updated
06/12/2008
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