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1306625314
KEVAN SCOTT TATUM
COLUMBUS, OH
NPI
1306625314
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.183657)
Enumeration Date
2023-09-28
Last Update Date
2023-09-28
Business Address
Mr. KEVAN SCOTT TATUM
3035 W BROAD ST
COLUMBUS, OH 43204-2653
Phone number: 614-272-7005
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Mailing Address
Mr. KEVAN SCOTT TATUM
1155 GEORGES PL APT B
COLUMBUS, OH 43204-1079
Phone number: 614-704-2437
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