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Individual

LAVINA N BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
927 ROGERS PL, CINCINNATI, OH 45206-2526
(151) 380-7671
Mailing address
927 ROGERS PL, CINCINNATI, OH 45206-2526
(151) 380-7671

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
376J00000X
Homemaker
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
37471P1801X
OH
05
376J00000X
OH
Enumeration date
01/27/2021
Last updated
01/27/2021
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