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Mandra Vickroy
NPI 1982952461 · on the registry since 2012
Practice
- Address
- 4641 Fulton Drive North West
Canton, OH 44718 - Phone
- (330) 433-6075
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-08-15
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