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Individual

CORI N PACKNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5828 DAFFODIL CIR, DAYTON, OH 45449-2939
(937) 677-8320
Mailing address
5828 DAFFODIL CIR, DAYTON, OH 45449-2939
(937) 677-8320

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
SU776155
OH

Other

Enumeration date
07/11/2023
Last updated
07/11/2023
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