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1952548927
MINERVA PARK FAMILY PRACTICE, LLC
COLUMBUS, OH
NPI
1952548927
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Entity Type
Organization
Authorized Contact
OMAR M AWALE
Medical Director
614-428-8105
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2009-01-13
Last Update Date
2009-01-13
Business Address
MINERVA PARK FAMILY PRACTICE, LLC
2330 MORSE RD SUITE B
COLUMBUS, OH 43229-5801
Phone number: 614-428-8105
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Mailing Address
MINERVA PARK FAMILY PRACTICE, LLC
PO BOX 29166
COLUMBUS, OH 43229-0166
Phone number: 614-428-8105
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