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Individual

MICHELLE LEANN COMPTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
809 W WATER ST, PIQUA, OH 45356-1948
(937) 214-9857
Mailing address
809 W WATER ST, PIQUA, OH 45356-1948
(937) 214-9857

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0346117
OH
Enumeration date
11/16/2020
Last updated
11/16/2020
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