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1760100457
UNDRA B BROOM
COLUMBUS, OH
NPI
1760100457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2022-08-18
Last Update Date
2022-08-18
Business Address
Mr. UNDRA B BROOM CDCA, QMHP
3242 E MAIN ST
COLUMBUS, OH 43213-3807
Phone number: 614-500-4150
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Mailing Address
Mr. UNDRA B BROOM CDCA, QMHP
3242 E MAIN ST
COLUMBUS, OH 43213-3807
Phone number: 614-500-4150
Copy
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