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Individual
JOHN TODD
Active
Individual
JOHN TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71009875A
IN
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0033982
OH
363LF0000X
Family Nurse Practitioner
71009875A
IN
363LF0000X
Family Nurse Practitioner
APRN.CNP.0033982
OH
Other
Enumeration date
06/11/2019
Last updated
02/22/2024
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