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1336863745
BROADDUS SHAMBLIN
COLUMBUS, OH
NPI
1336863745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-09-29
Last Update Date
2022-09-29
Business Address
BROADDUS SHAMBLIN
1801 WATERMARK DR
COLUMBUS, OH 43215-7088
Phone number: 614-487-8758
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Mailing Address
BROADDUS SHAMBLIN
1801 WATERMARK DR
COLUMBUS, OH 43215-7088
Phone number: 614-487-8758
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