JOSE R VILLAVICENCIO

LOGAN, OH
NPI1265483580
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OH  35069935V)
Enumeration Date2006-05-12
Last Update Date2008-05-29
Business Address
-- JOSE R VILLAVICENCIO MD
601 ST RT 664
LOGAN, OH 43138
Phone number: 740-380-8000
Mailing Address
-- JOSE R VILLAVICENCIO MD
4750 HEMPSTEAD STATION DR
KETTERING, OH 45429-5164
Phone number: 800-875-0136
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