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Individual

MRS. VALERIE MICKLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
15408 HILLCREST RD, MOUNT ORAB, OH 45154-8508
(513) 300-9477
Mailing address
15408 HILLCREST RD, MOUNT ORAB, OH 45154-8508

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTA - 02699
OH

Other

Enumeration date
06/14/2007
Last updated
07/08/2007
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