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1790167708
RACHAEL PROKES
COLUMBUS, OH
NPI
1790167708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OH 3623)
Enumeration Date
2015-06-25
Last Update Date
2015-06-25
Business Address
-- RACHAEL PROKES
305 W 12TH AVE
COLUMBUS, OH 43210-1267
Phone number: 614-688-3763
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Mailing Address
-- RACHAEL PROKES
2417 QUARRY VALLEY RD
COLUMBUS, OH 43204-4981
Phone number:
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