Individual
NICOLE CLYBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 HURST RD, URBANA, OH 43078-9250
(937) 244-3781
Mailing address
3801 HURST RD, URBANA, OH 43078-9250
(937) 244-3781
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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