Individual
MR. MICHAEL KEVIN O'HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1813 BALTIMORE RD NW, LANCASTER, OH 43130-8212
(740) 681-5655
Mailing address
212 S MAIN ST, P.O. BOX 64, SUGAR GROVE, OH 43155-0064
(740) 503-5637
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2710098
—
OH
Enumeration date
05/18/2007
Last updated
07/08/2007
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