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Individual

MRS. DENISE MARIE CLEVENGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1840 E US HIGHWAY 36, URBANA, OH 43078-9600
(937) 653-5523
Mailing address
976 THORNAPPLE GRV, GALLOWAY, OH 43119-8608
(614) 309-0659

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03122320
OH

Other

Enumeration date
04/10/2020
Last updated
04/10/2020
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