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1700424256
MICA DESHAUN FRYAR
LANCASTER, OH
NPI
1700424256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-12-16
Last Update Date
2020-01-16
Business Address
MICA DESHAUN FRYAR
2017 E MAIN ST APT 3
LANCASTER, OH 43130-8164
Phone number: 614-352-9473
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Mailing Address
MICA DESHAUN FRYAR
7193 FEATHER CT
REYNOLDSBURG, OH 43068-5107
Phone number: 614-352-9473
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