ANTENNIE D AULD

WILLOUGHBY, OH
NPI1619499076
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OH  APRN.CNP.020969)
Enumeration Date2017-07-07
Last Update Date2025-09-30
Business Address
ANTENNIE D AULD NP-PMH
4212 STATE ROUTE 306 STE 100
WILLOUGHBY, OH 44094-9248
Phone number: 440-973-8400
Mailing Address
ANTENNIE D AULD NP-PMH
11134 LUSCHEK DR
BLUE ASH, OH 45241-2434
Phone number: 513-827-9274
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