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Organization

TRIUMPH LIVING LLC

Active
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Organization

TRIUMPH LIVING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARCUS STANTON COSPER PA-C (OWNER/PA-C)
(330) 507-2988
Entity
Organization

Contact information

Practice address
3350 ALLEGHENY AVE, COLUMBUS, OH 43209-1388
(330) 507-2988
Mailing address
1368 CHICKWEED ST, BLACKLICK, OH 43004-8333
(330) 507-2988

Taxonomy

Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
—
—

Other

Enumeration date
05/05/2023
Last updated
05/22/2023
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