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Individual

STEPHANIE CORNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
901 TRIFFIN AVE, HAMILTON, OH 45015
(513) 430-4043
Mailing address
901 TIFFINAVE, HAMILTON, OH 45015
(513) 430-4043

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
374U00000X
Home Health Aide
376K00000X
Nurse's Aide
Primary
400701041207
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123456
OH
Enumeration date
06/05/2015
Last updated
06/05/2015
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