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Individual

IVAN DALE DUMMITT III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
202 PARK AVE APT 407, IRONTON, OH 45638-1557
(740) 533-7199
Mailing address
96 PRIVATE DRIVE 1277, IRONTON, OH 45638-8740
(502) 644-6056

Taxonomy

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

Other

Enumeration date
10/31/2022
Last updated
10/31/2022
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