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Individual

OSEE NSASA LUNAMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11351 LIPPELMAN RD APT 352, CINCINNATI, OH 45246-4059
(513) 888-1577
Mailing address
11351 LIPPELMAN RD APT 352, CINCINNATI, OH 45246-4059
(513) 888-1577

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
374700000X
Technician
3747A0650X
Attendant Care Provider
Primary
3747P1801X
Personal Care Attendant

Other

Enumeration date
08/20/2025
Last updated
08/20/2025
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