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1407541188
BEZANKENG DAMASIUS WANATU
COLUMBUS, OH
NPI
1407541188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OH 0033623)
Enumeration Date
2023-04-07
Last Update Date
2023-04-07
Business Address
Mr. BEZANKENG DAMASIUS WANATU
900 E DUBLIN GRANVILLE RD
COLUMBUS, OH 43229-2452
Phone number: 614-500-9676
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Mailing Address
Mr. BEZANKENG DAMASIUS WANATU
1807 FOREST OAK LN
COLUMBUS, OH 43229-8814
Phone number: 614-500-9676
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