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Individual

FABIAN SOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
4488 W BROAD ST STE 100, COLUMBUS, OH 43228-5610
(614) 237-6373
(614) 853-2444
Mailing address
2691 E MAIN ST STE 204, BEXLEY, OH 43209-2535
(614) 237-6373
(614) 853-2444

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33024253
OH

Other

Enumeration date
07/24/2019
Last updated
07/24/2019
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