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Individual

ANTHONY LEE MORMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 PUTNAM PKWY, OTTAWA, OH 45875-8657
(419) 615-9361
Mailing address
1106 E 2ND ST APT 1, OTTAWA, OH 45875-2076
(419) 615-9361

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.013527
OH

Other

Enumeration date
03/26/2018
Last updated
03/26/2018
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