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1861733396
LORI MCNICKLE
CANTON, OH
NPI
1861733396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224L00000X Pedorthist
(Licence: OH LPED32)
Enumeration Date
2013-03-07
Last Update Date
2013-03-07
Business Address
LORI MCNICKLE CPED, RFOM
4663 WHIPPLE AVE NW
CANTON, OH 44718-2615
Phone number: 330-479-0020
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Mailing Address
LORI MCNICKLE CPED, RFOM
4663 WHIPPLE AVE NW
CANTON, OH 44718-2615
Phone number: 330-479-0020
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