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1154944239
JAVAHN LAMAR IVERSON
COLUMBUS, OH
NPI
1154944239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
Enumeration Date
2020-05-22
Last Update Date
2020-05-22
Business Address
JAVAHN LAMAR IVERSON
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214-3908
Phone number: 614-566-5000
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Mailing Address
JAVAHN LAMAR IVERSON
1056 WINDING CREEK LN
DELAWARE, OH 43015-7415
Phone number:
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