NATHAN JAMES MICKELSON

COLUMBUS, OH
NPI1114194230
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2008-05-08
Last Update Date2008-05-08
Business Address
Mr. NATHAN JAMES MICKELSON
5100 W BROAD ST
COLUMBUS, OH 43228-1607
Phone number: 614-544-2089
Mailing Address
Mr. NATHAN JAMES MICKELSON
1801 E 12TH ST APT 1102
CLEVELAND, OH 44114-3538
Phone number: 701-471-2240