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Organization

LIBERTY DIALYSIS SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE CARPENTER (ASSISTANT SECRETARY)
(937) 296-1550
Entity
Organization

Contact information

Practice address
4336 W FRANKLIN ST, BELLBROOK, OH 45305-1551
(937) 296-1550
(937) 296-1540
Mailing address
4336 W FRANKLIN ST, BELLBROOK, OH 45305-1551
(937) 296-1550
(937) 296-1540

Taxonomy

Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary

Other

Enumeration date
01/04/2022
Last updated
04/05/2023
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