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1750933982
KOOLJOE FREDDY NTIM
PICKERINGTON, OH
NPI
1750933982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: OH 024423)
Enumeration Date
2019-07-09
Last Update Date
2019-07-09
Business Address
KOOLJOE FREDDY NTIM
7650 HOWELL PARK DR
PICKERINGTON, OH 43147-9513
Phone number: 614-316-6408
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Mailing Address
KOOLJOE FREDDY NTIM
7650 HOWELL PARK DR
PICKERINGTON, OH 43147-9513
Phone number: 614-316-6408
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