Individual
KIMBERLY JO SOPHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
732 HARDING ST, BELLEFONTAINE, OH 43311-1664
(937) 407-0878
Mailing address
732 HARDING ST, BELLEFONTAINE, OH 43311-1664
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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