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1700448743
ANTHONY KELSO
COLUMBUS, OH
NPI
1700448743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2019-06-30
Last Update Date
2019-06-30
Business Address
ANTHONY KELSO
2460 SULLIVANT AVE
COLUMBUS, OH 43204-3139
Phone number: 614-676-0604
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Mailing Address
ANTHONY KELSO
2460 SULLIVANT AVE
COLUMBUS, OH 43204-3139
Phone number:
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