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1265930861
CONROD O PETERKIN
COLUMBUS, OH
NPI
1265930861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH LPN.162145.MEDS-IV)
Enumeration Date
2018-01-29
Last Update Date
2022-01-06
Business Address
CONROD O PETERKIN LPN
16 W LONG ST
COLUMBUS, OH 43215-2815
Phone number: 614-225-0990
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Mailing Address
CONROD O PETERKIN LPN
16 W LONG ST
COLUMBUS, OH 43215-2815
Phone number: 614-225-0990
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