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1235546433
KENYATTA WILLOUGHBY
COLUMBUS, OH
NPI
1235546433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: OH 2771460)
Enumeration Date
2014-07-20
Last Update Date
2014-07-20
Business Address
-- KENYATTA WILLOUGHBY
2994 SANDRIDGE AVE
COLUMBUS, OH 43224-6827
Phone number: 614-607-8629
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Mailing Address
-- KENYATTA WILLOUGHBY
2994 SANDRIDGE AVE
COLUMBUS, OH 43224-6827
Phone number: 614-607-8629
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