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1679804801
PRIMO S EKANEWANG
REYNOLDSBURG, OH
NPI
1679804801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN 138547-Meds)
Enumeration Date
2010-01-28
Last Update Date
2010-02-16
Business Address
-- PRIMO S EKANEWANG
3098 ARBORSYE CT
REYNOLDSBURG, OH 43068
Phone number: 614-678-9720
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Mailing Address
-- PRIMO S EKANEWANG
3098 ARBORSYE CT
REYNOLDSBURG, OH 43068-9102
Phone number: 614-678-9720
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