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1669177614
JEREMY NICOLAS MUCK
LANCASTER, OH
NPI
1669177614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OH 171m00000x)
Enumeration Date
2023-03-31
Last Update Date
2023-04-04
Business Address
JEREMY NICOLAS MUCK
117 W MAIN ST STE 107
LANCASTER, OH 43130-3799
Phone number: 740-918-9616
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Mailing Address
JEREMY NICOLAS MUCK
5439 BURKHARDT RD
DAYTON, OH 45431-2111
Phone number:
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