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Individual

NICKLAUS LAVAUGHN DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
377 S MURRAY HILL RD, COLUMBUS, OH 43228-1947
(614) 549-9014
Mailing address
377 S MURRAY HILL RD, COLUMBUS, OH 43228-1947
(614) 549-9014

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
01/21/2022
Last updated
01/21/2022
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