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1285994392
LATISA L MARTIN
COLUMBUS, OH
NPI
1285994392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH APRN.CNP.024842)
Enumeration Date
2012-05-22
Last Update Date
2019-09-12
Business Address
Mrs. LATISA L MARTIN CNP
3000 CORPORATE EXCHANGE DR
COLUMBUS, OH 43231-7689
Phone number: 888-562-5442
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Mailing Address
Mrs. LATISA L MARTIN CNP
PO BOX 922
PICKERINGTON, OH 43147-0922
Phone number: 614-772-1225
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