Individual
KIMBERLY ELLEN GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 W STATE ST, FREMONT, OH 43420-2015
(419) 355-2999
Mailing address
1212 W STATE ST, FREMONT, OH 43420-2015
(419) 552-1379
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
00768
OH
Other
Enumeration date
11/26/2021
Last updated
11/26/2021
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