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Individual

MICHAEL JAMES BILLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
525 METRO PL N STE 100, DUBLIN, OH 43017-5343
(855) 289-1722
Mailing address
525 METRO PL N STE 100, DUBLIN, OH 43017-5343
(855) 289-1722

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0029929
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2910854
OH
Enumeration date
10/06/2021
Last updated
03/17/2023
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