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Individual

ANN MARIE CHAMBLISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
337 GREAT OAKS TRL, WADSWORTH, OH 44281-9427
(330) 741-9012
Mailing address
337 GREAT OAKS TRL, WADSWORTH, OH 44281-9427
(330) 741-9012

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5211523
OH
Enumeration date
01/15/2021
Last updated
01/15/2021
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