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Individual

MARK DANIEL NICHOLS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
923 SEDAN CRABTREE RD UNIT C, LUCASVILLE, OH 45648-9314
(740) 259-5577
Mailing address
973 SEDAN CRABTREE RD, LUCASVILLE, OH 45648-8960
(740) 935-7753

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
04/30/2024
Last updated
04/30/2024
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