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1316695380
BLACK OLIVE HEALTH CARE CLINIC
COLUMBUS, OH
NPI
1316695380
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Entity Type
Organization
Authorized Contact
EDEISHA BROOKS
Ap RN
419-295-8811
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2022-03-17
Last Update Date
2022-04-02
Business Address
BLACK OLIVE HEALTH CARE CLINIC
380 OAKLAND PARK AVE
COLUMBUS, OH 43214-4124
Phone number: 419-295-8811
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Mailing Address
BLACK OLIVE HEALTH CARE CLINIC
860 OAKLAND PARK AVE
COLUMBUS, OH 43224-3258
Phone number: 419-295-8811
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