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NPI Code Detail

MEDICARE: JOHN MUTEBUTSI

MEDICARE:   JOHN  MUTEBUTSI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376J00000XHomemaker

General Provider Information

NPI Number : 1225971229
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN MUTEBUTSI
Provider Business Mailing Address
First Line : 4416 BURCHDALE ST
Second Line :
City : DAYTON
State : OH
Zip : 45440-1435
Country : US
Telephone Number : 937-998-7239
Fax Number : 937-998-7239
Provider Business Practice Location Address
First Line : 4416 BURCHDALE ST
Second Line :
City : DAYTON
State : OH
Zip : 45440-1435
Country : US
Telephone Number : 937-998-7239
Fax Number : 937-998-7239
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ JOHN MUTEBUTSI ” Practice Location

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