Individual
BRENDA LEE BUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
817 KILBOURNE ST, BELLEVUE, OH 44811-9431
(567) 560-3587
Mailing address
3533 AUSTIN DR, WILLARD, OH 44890-9230
(567) 227-0376
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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