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Individual

SUSAN RIPPLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
23 GREYSTONE, POLAND, OH 44514-4205
(330) 506-3612
Mailing address
23 GREYSTONE, POLAND, OH 44514-4205
(330) 506-3612

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0220669
OH
Enumeration date
01/04/2021
Last updated
01/04/2021
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