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Individual

ANDY LEWIS HUSK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
207 BEECHWOOD ST, EAST LIVERPOOL, OH 43920-1909
(330) 385-0050
Mailing address
207 BEECHWOOD ST, EAST LIVERPOOL, OH 43920-1909
(330) 385-0050

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107315930199
OH
Enumeration date
02/15/2023
Last updated
02/15/2023
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