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Individual

JOSHUA WIENTGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
902 HOLBROOK CT APT A, LEBANON, OH 45036-1766
(513) 205-9008
Mailing address
902 HOLBROOK CT APT A, LEBANON, OH 45036-1766
(513) 205-9008

Taxonomy

Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary

Other

Enumeration date
05/16/2024
Last updated
05/16/2024
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