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1972919173
JENISE SLATER
COLUMBUS, OH
NPI
1972919173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OH 401152841010)
Enumeration Date
2014-07-08
Last Update Date
2014-07-08
Business Address
-- JENISE SLATER
3212 FAIRWOOD AVE
COLUMBUS, OH 43207-3252
Phone number: 614-456-9225
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Mailing Address
-- JENISE SLATER
3212 FAIRWOOD AVE
COLUMBUS, OH 43207-3252
Phone number: 614-456-9225
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