Individual
MARK DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7022 TRILLIUM LN, REYNOLDSBURG, OH 43068-4836
(614) 622-2038
Mailing address
7022 TRILLIUM LN, REYNOLDSBURG, OH 43068-4836
(614) 622-2038
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
0078374
OH
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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