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1205019643
NORTHEAST FAMILY PRACTICE
COLUMBUS, OH
NPI
1205019643
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Entity Type
Organization
Authorized Contact
KEITH ALLEN BLAKELY
Physician
614-898-0150
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OH 052152)
Enumeration Date
2007-12-07
Last Update Date
2008-04-20
Business Address
NORTHEAST FAMILY PRACTICE
6200 CLEVELAND AVE SUITE 101
COLUMBUS, OH 43231-8608
Phone number: 614-898-0150
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Mailing Address
NORTHEAST FAMILY PRACTICE
6200 CLEVELAND AVE SUITE 101
COLUMBUS, OH 43231-8608
Phone number: 614-898-0150
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