Organization
AMAZINGGREYS SENIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBI JO WATSON NP (NURSE PRACTITIONER)
(937) 367-9407
Entity
Organization
Contact information
Practice address
30 N LAKESHORE DR, SPRINGBORO, OH 45066-8125
(937) 367-9407
Mailing address
30 N LAKESHORE DR, SPRINGBORO, OH 45066-8125
(937) 367-9407
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/28/2019
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