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1073869905
LUKE A DAVIS
TIFFIN, OH
NPI
1073869905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH COA13524-NP)
Enumeration Date
2012-07-30
Last Update Date
2015-08-13
Business Address
-- LUKE A DAVIS CNP
486 W PERRY ST
TIFFIN, OH 44883-1902
Phone number: 419-455-8140
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Mailing Address
-- LUKE A DAVIS CNP
441 E 8TH ST
LIMA, OH 45804-2482
Phone number: 419-221-3072
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RESOLUTE WELLNESS ASSOCIATES, LLC