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1174025662
TRACY M. DONOVAN
COLUMBUS, OH
NPI
1174025662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50.006109RX)
Enumeration Date
2018-03-01
Last Update Date
2019-09-16
Business Address
TRACY M. DONOVAN PA
410 W 10TH AVE
COLUMBUS, OH 43210-1240
Phone number: 614-293-7499
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Mailing Address
TRACY M. DONOVAN PA
700 ACKERMAN RD STE 2120
COLUMBUS, OH 43202-1559
Phone number: 614-293-7499
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