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Organization

CUSTOM CE LLC

Active
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Organization

CUSTOM CE LLC

Active
Parent organization
CUSTOM CE LLC
Other names
The Hair Center Cincinnati
Organization subpart
Yes

Provider details

NPI number
Legal business name
CUSTOM CE LLC
Authorized official
JASMINE PATRICE DAVIS CERTIFIED HAIR LOSS (EDUCATIONAL DIRECTOR)
(513) 331-3071
Entity
Organization

Contact information

Practice address
4224 CHAMBERS ST, CINCINNATI, OH 45223-1826
(513) 331-3071
Mailing address
4224 CHAMBERS ST, CINCINNATI, OH 45223-1826
(513) 331-3071

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary

Other

Enumeration date
10/13/2020
Last updated
10/15/2020
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