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Organization
MIDOHIO FIRST ASSISTING
Active
Organization
MIDOHIO FIRST ASSISTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY PETRICK GONZALEZ AGACNP, RNFA (NURSE PRACTITIONER)
(614) 361-6996
Entity
Organization
Contact information
Practice address
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3908
(614) 361-6994
Mailing address
140 BRIARBEND CT, POWELL, OH 43065-8907
(614) 580-8607
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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