Individual
MR. CALVIN JEROME MCLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 BEAVER CREEK RD, APT #903, PIKETON, OH 45661-8100
(740) 703-2134
Mailing address
601 BEAVER CREEK RD, APT #903, PIKETON, OH 45661-8100
(740) 703-2134
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
122203
OH
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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