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1396945655
NICHOLAS ROBERT VANMALDEREN
COLUMBUS, OH
NPI
1396945655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OH 34.009948)
Enumeration Date
2007-07-24
Last Update Date
2011-03-25
Business Address
-- NICHOLAS ROBERT VANMALDEREN D.O.
5400 BOURBON ST
COLUMBUS, OH 43221-5564
Phone number: 740-707-3761
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Mailing Address
-- NICHOLAS ROBERT VANMALDEREN D.O.
5400 BOURBON ST
COLUMBUS, OH 43221-5564
Phone number: 740-707-3761
Copy
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