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1902346463
BASHIR AWL
COLUMBUS, OH
NPI
1902346463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
302F00000X Exclusive Provider Organization
(Licence: OH 201703403310)
Enumeration Date
2017-03-03
Last Update Date
2017-03-03
Business Address
-- BASHIR AWL 0615
4130 ADALRIC DR
COLUMBUS, OH 43219-6199
Phone number: 614-749-9782
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Mailing Address
-- BASHIR AWL 0615
4130 ADALRIC DR
COLUMBUS, OH 43219-6199
Phone number: 614-749-9782
Copy
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