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Individual
JOHN M MARCUM
Active
Individual
JOHN M MARCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2305519
OH
390200000X
Student in an Organized Health Care Education/Training Program
C.2204119-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
LICENSURE BOARD
OH
Enumeration date
08/30/2022
Last updated
10/12/2023
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