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Organization
RAPHAEL HEALTH CARE, LLC
Active
Organization
RAPHAEL HEALTH CARE, LLC
Active
Other names
Raphael Health Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYUNGSOOK LEE R.N. (PRESIDENT)
(614) 932-7000
Entity
Organization
Contact information
Practice address
6631 COMMERCE PKWY, SUITE Q, DUBLIN, OH 43017-3239
(614) 932-7000
(614) 932-7011
Mailing address
6631 COMMERCE PKWY, SUITE Q, DUBLIN, OH 43017-3239
(614) 932-7000
(614) 932-7011
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35.092833
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.092833
OHIO MEDICAL BOARD LICENSE
OH
Enumeration date
10/15/2009
Last updated
11/14/2009
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