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Individual

ERICA B BENTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
45880 STATE ROUTE 162, WELLINGTON, OH 44090-9347
(440) 387-6941
Mailing address
45880 STATE ROUTE 162, WELLINGTON, OH 44090-9347
(440) 387-6941

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
11/27/2020
Last updated
11/27/2020
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