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Individual

SHONTAE S BENISON

Active
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Individual

SHONTAE S BENISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
246YR1600X
Registered Record Administrator
OH
251E00000X
Home Health Agency
3826HHN
OH
261QA0600X
Adult Day Care Clinic/Center
Primary
OH

Other

Enumeration date
06/08/2022
Last updated
12/02/2025
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