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Mrs. Mittese Doreen Bankston
Private Vehicle in Canton, Ohio
NPI 1558086678

Mittese Doreen Bankston is a Private Vehicle based in Canton, OH. Mittese Doreen Bankston practices in Canton, OH. The NPI Number for Mittese Doreen Bankston is 1558086678 and holds a License No. (Ohio).

The current practice location address for Mittese Doreen Bankston is 622 17Th St Se, Canton, OH and can be reached out via phone at 330-617-9533.

Location: 622 17Th St Se, Canton, OH, 44707-3708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558086678
Provider Name
Mittese Doreen Bankston
Credential
Provider Entity Type
Individual
Gender
Female
Address
622 17Th St Se, Canton, OH, 44707-3708
Phone Number
330-617-9533
Fax Number
Provider Enumeration Date
10/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
622 17Th St Se
City
Canton
State
Ohio
Zip
44707-3708
Phone Number
330-617-9533
Fax Number
person
Provider Business Mailing Address Details
Address
622 17Th St Se
City
Canton
State
Ohio
Zip
44707-3708
Phone Number
330-617-9533
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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