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1013740141
WISE ELLIS
COLUMBUS, OH
NPI
1013740141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OH SP.15935)
Enumeration Date
2024-08-23
Last Update Date
2024-08-23
Business Address
WISE ELLIS
3700 S HIGH ST
COLUMBUS, OH 43207-4010
Phone number: 614-365-5602
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Mailing Address
WISE ELLIS
1545 HUY RD
COLUMBUS, OH 43224-3531
Phone number:
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