Individual
GRACE OLUCHI AMAKULOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2555 JOHN STEVEN WAY, REYNOLDSBURG, OH 43068-5249
(614) 270-4877
Mailing address
2555 JOHN STEVEN WAY, REYNOLDSBURG, OH 43068-5249
(614) 270-4877
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN149123-M-IV
OH
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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