Individual
JONATHAN PAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1683 FALLING LEAF LN, GALLOWAY, OH 43119-8421
(614) 395-9182
Mailing address
1683 FALLING LEAF LN, GALLOWAY, OH 43119-8421
(614) 395-9182
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0326627
—
OH
Enumeration date
09/24/2020
Last updated
09/24/2020
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