Individual
MRS. JANENE MUSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 COURTNEY DR APT A, DAYTON, OH 45431-1288
(608) 443-6646
(937) 221-9364
Mailing address
1001 COURTNEY DR APT A, DAYTON, OH 45431-1288
(608) 443-6646
(937) 221-9364
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2630595
—
OH
Enumeration date
07/05/2006
Last updated
11/19/2014
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