Individual
MR. CHARLES MICHAEL DUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6929 WILDFLOWER TRL, CINCINNATI, OH 45230-3800
(513) 633-8667
Mailing address
735 CEDAR CREST LN, CINCINNATI, OH 45230-3780
(513) 518-8002
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
0000246976
OH
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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