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Other Specialist/Technologist

NPI: 1235501305Individual

Specialties, Licenses & Credentials

Other Specialist/TechnologistPrimary

Specialist/Technologist, Other

Code: 246Z00000X

Family Nurse Practitioner

Nurse Practitioner — Family

Code: 363LF0000X

Contact & Hours

Address: 104 N ROGERS ST, 104 N ROGERS ST
MOUNT VERNON, OH 43050
Phone: (740) 326-9161

Location

Practice Location

104 N ROGERS ST, MOUNT VERNON, OH

Quick Facts

NPI: 1235501305
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 1

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