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1114194230
NATHAN JAMES MICKELSON
COLUMBUS, OH
NPI
1114194230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2008-05-08
Last Update Date
2008-05-08
Business Address
Mr. NATHAN JAMES MICKELSON
5100 W BROAD ST
COLUMBUS, OH 43228-1607
Phone number: 614-544-2089
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Mailing Address
Mr. NATHAN JAMES MICKELSON
1801 E 12TH ST APT 1102
CLEVELAND, OH 44114-3538
Phone number: 701-471-2240
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