Individual
MR. JAMES DANIEL UTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1985 HOUT RD, MANSFIELD, OH 44905-1824
(419) 632-1159
Mailing address
1985 HOUT RD, MANSFIELD, OH 44905-1824
(419) 632-1159
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.124504 IV
OH
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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