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Individual

ERIC BUFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6607 CALDERO CT, DAYTON, OH 45415-1542
(937) 581-7784
Mailing address
6607 CALDERO CT, DAYTON, OH 45415-1542
(937) 581-7784

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0362213
OH
Enumeration date
11/19/2020
Last updated
11/19/2020
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