MICAH GREGORY KAI OHLEN

SAN JUAN CAPISTRANO, CA
NPI1710424833
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  2000015732)
Enumeration Date2017-01-26
Last Update Date2017-01-26
Business Address
-- MICAH GREGORY KAI OHLEN ATC
29211 STALLION RDG
SAN JUAN CAPISTRANO, CA 92675-3602
Phone number: 805-331-6009
Mailing Address
-- MICAH GREGORY KAI OHLEN ATC
29211 STALLION RDG
SAN JUAN CAPISTRANO, CA 92675-3602
Phone number: 805-331-6009
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