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Individual

JONATHAN LINCOLN MAHLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
220 GRAPE ST, FOSTORIA, OH 44830-2520
(419) 619-7128
Mailing address
220 GRAPE ST, FOSTORIA, OH 44830-2520
(419) 619-7128

Taxonomy

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

Other

Enumeration date
12/06/2023
Last updated
12/06/2023
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