Individual
MRS. NICOLE MARIE MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
162 1/2 S MAIN ST, MINSTER, OH 45865-1304
(937) 974-2181
Mailing address
162 1/2 S MAIN ST, MINSTER, OH 45865-1304
(937) 974-2181
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5505138
—
OH
Enumeration date
09/11/2020
Last updated
09/11/2020
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