Individual
MICHELE RENEE NOBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6621 WENGERLAWN RD, BROOKVILLE, OH 45309-8410
(937) 572-7984
Mailing address
6621 WENGERLAWN RD, BROOKVILLE, OH 45309-8410
(937) 572-7984
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107537072499
—
OH
Enumeration date
09/14/2020
Last updated
09/15/2020
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