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1417548215
EBONY L FADIS
COLUMBUS, OH
NPI
1417548215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2021-02-03
Last Update Date
2024-04-23
Business Address
EBONY L FADIS
943 ROBERSON ST
COLUMBUS, OH 43201-3645
Phone number: 614-843-4210
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Mailing Address
EBONY L FADIS
1747 OLENTANGY RIVER RD # 1030
COLUMBUS, OH 43212-1453
Phone number: 614-843-4210
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OHIO DEPARTMENT OF REHABILITATION AND CORRECTIONS