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Individual

DEBORAH JEAN BODENMILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
512 WALKER ST, BELLEFONTAINE, OH 43311-1336
(937) 597-4465
Mailing address
512 WALKER ST, BELLEFONTAINE, OH 43311-1336
(937) 597-4465

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
OH
374U00000X
Home Health Aide
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000295266
OH
Enumeration date
09/08/2021
Last updated
09/08/2021
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