Individual
MEGAN MIRANDA CLYBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 LAFAYETTE AVE, URBANA, OH 43078-1424
(937) 869-4949
Mailing address
310 LAFAYETTE AVE, URBANA, OH 43078-1424
(937) 869-4949
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
OH
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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