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1790325660
LISA CORINNE SOFOCLEOUS
COLUMBUS, OH
NPI
1790325660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OH APRN.CNP.025876)
Enumeration Date
2020-01-08
Last Update Date
2020-01-08
Business Address
LISA CORINNE SOFOCLEOUS CNP
250 BRODBELT LN APT 204
COLUMBUS, OH 43215-2458
Phone number: 330-540-7636
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Mailing Address
LISA CORINNE SOFOCLEOUS CNP
250 BRODBELT LN APT 204
COLUMBUS, OH 43215-2458
Phone number: 330-540-7636
Copy
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