Individual
MARY LOU BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1383 LORELEI DR, FAYETTEVILLE, OH 45118-9263
(513) 875-3441
Mailing address
1383 LORELEI DR, FAYETTEVILLE, OH 45118-9263
(513) 875-3441
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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