INDEPENDENT PROVIDER
Managed Care Organizations at Newlove Rd, Selma, OH

License number
Ohio SK307751
Category
Managed Care Organizations
Type
Exclusive Provider Organization
License number
Ohio SK307751
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: MRS. WENDY SUE CAPPER
Title: INDEPENDENT PROVIDER
Phone: (937) 324-4438
Address
Address 2
2273 Newlove Rd, Selma, OH 45368
PO Box 427, South Charleston, OH 45368
National Provider ID: 1821217308
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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