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Individual

JOHN LAMAR KOLLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
815 S SOUTH ST, WILMINGTON, OH 45177-2755
(866) 534-2639
(800) 480-7578
Mailing address
1006 FARMINGTON LN, WASHINGTON COURT HOUSE, OH 43160-8758
(614) 554-3093

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist
Primary
APS006072
OH

Other

Enumeration date
01/07/2025
Last updated
07/16/2025
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