Individual
MR. JONAH HARRISON PRICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
713 S BRIGHTON CRST, BLOOMINGTON, IN 47401-8684
(812) 345-9697
Mailing address
713 S BRIGHTON CRST, BLOOMINGTON, IN 47401-8684
(812) 345-9697
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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