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Individual

MR. BRANDON D SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
686 WISCHER DR, TAYLOR MILL, KY 41015
(513) 393-1543
(513) 393-1543
Mailing address
686 WISCHER DR, TAYLOR MILL, KY 41015-2134
(513) 393-1543

Taxonomy

Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
OH

Other

Enumeration date
10/05/2017
Last updated
10/05/2017
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