James Daniel Utt LPN

NPI 1083922348 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1083922348
Gender Male
Enumeration Date 09/21/2010
Last Updated 09/21/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1985 HOUT RD
MANSFIELD OH, 44905-1824, US
Phone (419) 632-1159
Fax
Business Location
1985 HOUT RD
MANSFIELD OH, 44905-1824, US
Phone (419) 632-1159
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number PN.124504 IV
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According to our database, Mr. James Daniel Utt LPN NPI is 1083922348, taxonomy code is 164W00000X and license number is PN.124504 IV, license state is located at Ohio. James Daniel Utt LPN physically located at 1985 Hout Rd, Mansfield OH, 44905-1824. NPI Number James Daniel Utt LPN has the Individual type.

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1083922348 NPI number is provided on an as is basis without warranty of any kind. 1083922348 is maintained by the National Plan & Provider Enumeration System. The contents of James Daniel Utt LPN are for informational purposes only.