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1659839645
MICAH R GARDNER
IRONTON, OH
NPI
1659839645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OH CDCA.173007)
Enumeration Date
2019-03-08
Last Update Date
2020-07-24
Business Address
MICAH R GARDNER CDCA
700 PARK AVE
IRONTON, OH 45638-1502
Phone number: 740-532-1613
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Mailing Address
MICAH R GARDNER CDCA
PO BOX 108
IRONTON, OH 45638-0108
Phone number: 740-532-1613
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