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1659958403
BENNIS PAVISIAN
COLUMBUS, OH
NPI
1659958403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-26
Last Update Date
2021-03-26
Business Address
BENNIS PAVISIAN DO
1670 UPHAM DR
COLUMBUS, OH 43210-1250
Phone number: 614-293-4540
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Mailing Address
BENNIS PAVISIAN DO
1670 UPHAM DR
COLUMBUS, OH 43210-1250
Phone number: 614-293-4540
Copy
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