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Mycol Johnson
NPI 1508452962 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2616 Essex Pl
Cincinnati, OH 45206 - Phone
- (513) 720-4956
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 376J00000X
376J00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio