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Individual

JONATHAN PHELPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
400 CORWIN NIXON BLVD, SOUTH LEBANON, OH 45065-1196
(513) 494-0701
(513) 494-0711
Mailing address
400 CORWIN NIXON BLVD, SOUTH LEBANON, OH 45065-1196
(513) 494-0701
(513) 494-0711

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
J5D98M9
OH

Other

Enumeration date
02/16/2015
Last updated
02/16/2015
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