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Individual

KATHERINE GUCKENBERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3150 JAMES PL, FAIRFIELD TOWNSHIP, OH 45011-0544
(513) 290-8941
Mailing address
3150 JAMES PL, FAIRFIELD TOWNSHIP, OH 45011-0544

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
3747P1801X
Personal Care Attendant
376J00000X
Homemaker
Primary

Other

Enumeration date
09/02/2021
Last updated
09/08/2021
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