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Individual

CIARA DESHA HAMPTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2125 ASCHINGER BLVD, COLUMBUS, OH 43212-2678
(540) 263-3245
Mailing address
2125 ASCHINGER BLVD, COLUMBUS, OH 43212-2678
(540) 263-3245

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
347C00000X
Private Vehicle
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0020762
OH
Enumeration date
06/16/2023
Last updated
12/19/2023
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