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Mandra Jean Vickroy
Student in an Organized Health Care Education/Training Program in Canton, Ohio
NPI 1982952461

Mandra Jean Vickroy is a Student in an Organized Health Care Education/Training Program based in Canton, OH. Mandra Jean Vickroy practices in Canton, OH. The NPI Number for Mandra Jean Vickroy is 1982952461 and holds a License No. TC850408 (Ohio).

The current practice location address for Mandra Jean Vickroy is 4641 Fulton Drive North West, Canton, OH and can be reached out via phone at 330-433-6075.

Location: 4641 Fulton Drive North West, Canton, OH, 44718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982952461
Provider Name
Mandra Jean Vickroy
Credential
Provider Entity Type
Individual
Gender
Female
Address
4641 Fulton Drive North West, Canton, OH, 44718
Phone Number
330-433-6075
Fax Number
Provider Enumeration Date
08/15/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4641 Fulton Drive North West
City
Canton
State
Ohio
Zip
44718
Phone Number
330-433-6075
Fax Number
person
Provider Business Mailing Address Details
Address
4641 Fulton Drive North West
City
Canton
State
Ohio
Zip
44718
Phone Number
330-433-6075
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
TC850408 (Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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