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Individual
JOHN A MOHNICKEY
Active
Individual
JOHN A MOHNICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03349
TX
363AS0400X
Surgical Physician Assistant
S0000670
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212093301
—
TX
05
—
212093302
—
TX
05
—
212093303
—
TX
05
—
2513051
—
OH
Enumeration date
02/17/2006
Last updated
07/19/2016
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