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1528139748
MAIN STREET FAMILY PRACTICE
COLUMBUS, OH
NPI
1528139748
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Entity Type
Organization
Authorized Contact
CHANDRE C GOWDA
Physician
614-253-8537
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OH 35085235)
Enumeration Date
2006-11-10
Last Update Date
2020-08-22
Business Address
MAIN STREET FAMILY PRACTICE
1336 E MAIN ST
COLUMBUS, OH 43205-2081
Phone number: 614-253-8537
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Mailing Address
MAIN STREET FAMILY PRACTICE
1336 E MAIN ST
COLUMBUS, OH 43205-2081
Phone number: 614-253-8537
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