BASHIR AWL

COLUMBUS, OH
NPI1902346463
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy302F00000X Exclusive Provider Organization
(Licence: OH  201703403310)
Enumeration Date2017-03-03
Last Update Date2017-03-03
Business Address
-- BASHIR AWL 0615
4130 ADALRIC DR
COLUMBUS, OH 43219-6199
Phone number: 614-749-9782
Mailing Address
-- BASHIR AWL 0615
4130 ADALRIC DR
COLUMBUS, OH 43219-6199
Phone number: 614-749-9782