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Individual

JIM WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1274 ASHLAND AVE, DAYTON, OH 45420-1504
(937) 776-2726
Mailing address
1274 ASHLAND AVE, DAYTON, OH 45420-1504
(937) 776-2726

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RX175960
OH

Other

Enumeration date
03/21/2021
Last updated
03/21/2021
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