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Individual

AMY LOVELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2624 SAYBROOK DR, MIDDLETOWN, OH 45044-7168
(513) 393-1538
Mailing address
2624 SAYBROOK DR, MIDDLETOWN, OH 45044-7168
(513) 393-1538

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
400487190505
OH
376K00000X
Nurse's Aide
Primary
401419310712
OH

Other

Enumeration date
09/04/2014
Last updated
10/23/2014
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