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Individual

MALINDA LYNN BENARTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1111 BAKER ST, TOLEDO, OH 43608-2716
(419) 442-1294
Mailing address
1111 BAKER ST, TOLEDO, OH 43608-2716
(419) 442-1294

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4809381
OH
Enumeration date
09/17/2020
Last updated
09/17/2020
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