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Individual

MS. GLENDA JEAN PAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
STNA

Contact information

Practice address
513 BURGESS AVE, DAYTON, OH 45415-2636
(937) 903-4519
Mailing address
513 BURGESS AVE, DAYTON, OH 45415-2636
(937) 903-4519

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
401268180711
OH
376K00000X
Nurse's Aide
Primary
401268180711
OH

Other

Enumeration date
07/24/2012
Last updated
07/24/2012
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