TRAVIS NICHOLAS

NEWARK, OH
NPI1104367267
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-03-09
Last Update Date2017-03-09
Business Address
-- TRAVIS NICHOLAS QMHS
65 MESSIMER DR
NEWARK, OH 43055-1874
Phone number: 740-504-2563
Mailing Address
-- TRAVIS NICHOLAS QMHS
65 MESSIMER DR
NEWARK, OH 43055-1874
Phone number: 740-504-2563
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