Individual
JILL BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 STATE ROUTE 314 S, ONTARIO, OH 44903-9209
(419) 565-1451
Mailing address
1421 STATE ROUTE 314 S, ONTARIO, OH 44903-9209
(419) 565-1451
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
01/11/2024
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