Individual
MELISSA O'CULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7840 THOMAS DR, MADEIRA, OH 45243-1928
(513) 266-7038
Mailing address
7461 MADEIRA PINES DR, MADEIRA, OH 45243-0016
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PT9673
OH
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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