SAMUEL MICKLE

XENIA, OH
NPI1669248407
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: OH  OP.017669-S)
Enumeration Date2023-12-04
Last Update Date2023-12-04
Business Address
SAMUEL MICKLE
70 HOSPITALITY DR
XENIA, OH 45385-2779
Phone number: 937-376-5632
Mailing Address
SAMUEL MICKLE
70 HOSPITALITY DR
XENIA, OH 45385-2779
Phone number: 937-376-5632
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