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Individual

IVA BYLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1802 PHELPS RD, BRISTOLVILLE, OH 44402-9785
(330) 889-6058
Mailing address
1802 PHELPS RD, BRISTOLVILLE, OH 44402-9785
(330) 889-6058

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0069350
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7802962
OH
Enumeration date
11/17/2020
Last updated
11/17/2020
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