Individual
KEELY MIRANDA COMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17948 STATE ROUTE 116, VAN WERT, OH 45891-9762
(567) 644-5719
Mailing address
17948 STATE ROUTE 116, VAN WERT, OH 45891-9762
(567) 644-5719
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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