Individual
BEN O AIGBEVBOILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
STNA
Contact information
Practice address
1688 ATSON LN, CINCINNATI, OH 45205-2901
(513) 591-8258
Mailing address
1688 ATSON LN, CINCINNATI, OH 45205-2901
(513) 591-8258
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400759360508
OH
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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