THERESA A BACK

COLUMBUS, OH
NPI1336130277
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OH  NP08235)
Enumeration Date2005-10-31
Last Update Date2007-07-08
Business Address
-- THERESA A BACK CNP
1299 OLENTANGY RIVER RD
COLUMBUS, OH 43212-3135
Phone number: 614-566-4710
Mailing Address
-- THERESA A BACK CNP
1299 OLENTANGY RIVER RD STE 103
COLUMBUS, OH 43212-3135
Phone number: 614-566-4278
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