Individual
MR. GEORGE STEPHEN VUKICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
774 ETTER RD, MOGADORE, OH 44260-9692
(330) 414-3464
Mailing address
774 ETTER RD, MOGADORE, OH 44260-9692
(330) 414-3464
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4856
OH
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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