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1265627111
INDEPENDENT PROVIDER
COLUMBUS, OH
NPI
1265627111
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Entity Type
Organization
Authorized Contact
GRACE IHEOMA DURU
Lpn
614-834-8519
Organization Subpart ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
Enumeration Date
2007-09-12
Last Update Date
2007-09-12
Business Address
INDEPENDENT PROVIDER
3277 KADY LN
COLUMBUS, OH 43232-7455
Phone number: 614-834-8519
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Mailing Address
INDEPENDENT PROVIDER
3277 KADY LN
COLUMBUS, OH 43232-7455
Phone number: 614-834-8519
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