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1629659339
CLARENCE L BIVENS
COLUMBUS, OH
NPI
1629659339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 174939)
Enumeration Date
2021-04-15
Last Update Date
2021-04-19
Business Address
CLARENCE L BIVENS
1430 S HIGH ST
COLUMBUS, OH 43207-1045
Phone number: 614-643-6822
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Mailing Address
CLARENCE L BIVENS
1791 ALUM CREEK DR
COLUMBUS, OH 43207-1708
Phone number: 614-929-0662
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