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Individual

AVERY TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
418 CENTER ST, WHEELERSBURG, OH 45694-1712
(740) 776-2785
Mailing address
418 CENTER ST, WHEELERSBURG, OH 45694-1712

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
OH

Other

Enumeration date
10/18/2022
Last updated
10/18/2022
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