Individual
KEVIN DECOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 STOCKSDALE DRIVE, MARYSVILLE, OH 43040
(614) 657-9118
Mailing address
883 SHADOW OAK BND, MARYSVILLE, OH 43040-7583
(614) 657-9118
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000253
OH
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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