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1275008740
LEBANON M SPANN
COLUMBUS, OH
NPI
1275008740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TA0700X Psychologist, Adult Development & Aging
Enumeration Date
2018-10-10
Last Update Date
2018-10-10
Business Address
LEBANON M SPANN
765 PIERCE DR
COLUMBUS, OH 43223-2425
Phone number: 614-223-1650
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Mailing Address
LEBANON M SPANN
2368 MINERVA PARK PL
COLUMBUS, OH 43229-4770
Phone number:
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