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1841946738
PREM P SIWAKOTI
COLUMBUS, OH
NPI
1841946738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OH 50.007511RX)
Enumeration Date
2022-03-01
Last Update Date
2023-03-25
Business Address
PREM P SIWAKOTI PA
6599 E BROAD ST
COLUMBUS, OH 43213-1509
Phone number: 614-986-7752
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Mailing Address
PREM P SIWAKOTI PA
6599 E BROAD ST
COLUMBUS, OH 43213-1509
Phone number: 614-986-7752
Copy
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