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Individual

MRS. ALISON MARIE HARTONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2929 FOREST LAWN DR APT 4, BEAVERCREEK, OH 45431-8853
(937) 717-8302
Mailing address
1360 DEAGLEWAY DR APT H, FAIRBORN, OH 45324-9475
(937) 717-8302

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000306866
STATE OF OHIO SUPPLIER REGISTRATION NUMBER
OH
Enumeration date
12/27/2022
Last updated
12/27/2022
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