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1871161232
FANTA FOFANAH
COLUMBUS, OH
NPI
1871161232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: OH 425704)
Enumeration Date
2021-06-14
Last Update Date
2021-06-14
Business Address
FANTA FOFANAH
1430 S HIGH ST
COLUMBUS, OH 43207-1045
Phone number: 614-445-8131
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Mailing Address
FANTA FOFANAH
1430 S HIGH ST
COLUMBUS, OH 43207-1045
Phone number: 614-445-8131
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