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1912630187
ANN C BASOM
COLUMBUS, OH
NPI
1912630187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OH APRN.CNP.0032005)
Enumeration Date
2022-07-06
Last Update Date
2022-10-03
Business Address
ANN C BASOM PMHNP
700 CHILDRENS DR
COLUMBUS, OH 43205-2639
Phone number: 614-722-2000
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Mailing Address
ANN C BASOM PMHNP
120 W PARK AVE
COLUMBUS, OH 43222-1344
Phone number: 843-475-8657
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