Individual
MR. JOHNATHAN PAUL MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
18224 MARCUM LN, LAUREL, IN 47024-8304
(513) 315-7332
Mailing address
18224 MARCUM LANE, LAUREL, IN 47024
(513) 315-7332
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
129581
OH
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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