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1497072748
DANIEL DAVID CARRICO
MOUNT VERNON, OH
NPI
1497072748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN 124552 IV)
Enumeration Date
2010-04-27
Last Update Date
2010-04-27
Business Address
Mr. DANIEL DAVID CARRICO
300 GREENWOOD AVE
MOUNT VERNON, OH 43050-2111
Phone number: 740-507-3973
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Mailing Address
Mr. DANIEL DAVID CARRICO
300 GREENWOOD AVE
MOUNT VERNON, OH 43050-2111
Phone number: 740-507-3973
Copy
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