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1477160141
VICTORIA BURRIS GUNAWAN
COLUMBUS, OH
NPI
1477160141
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Former Name
VICTORIA LAYNE BURRIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50.007738RX)
Enumeration Date
2020-09-28
Last Update Date
2024-09-27
Business Address
VICTORIA BURRIS GUNAWAN PA-C
2050 KENNY RD
COLUMBUS, OH 43221-3502
Phone number: 614-293-5123
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Mailing Address
VICTORIA BURRIS GUNAWAN PA-C
700 ACKERMAN RD STE 2120
COLUMBUS, OH 43202-1559
Phone number: 614-293-5123
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