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1053787986
MARSHAL LEWIS THAXTER
MILFORD, OH
NPI
1053787986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: OH APRN.CNP.17528)
Enumeration Date
2015-08-14
Last Update Date
2018-07-02
Business Address
MARSHAL LEWIS THAXTER NP-C
824 MAIN ST
MILFORD, OH 45150
Phone number: 513-774-5606
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Mailing Address
MARSHAL LEWIS THAXTER NP-C
446 MORGAN ST
CINCINNATI, OH 45206-2348
Phone number: 513-834-7063
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