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Individual

BONETTA LOU COULTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNS

Contact information

Practice address
1601 W BROAD ST, COLUMBUS, OH 43222-1054
(614) 272-3115
Mailing address
566 E KELSO RD, COLUMBUS, OH 43202-2326
(614) 268-7109

Taxonomy

Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
APRNCNS019419
OH

Other

Enumeration date
10/27/2019
Last updated
10/27/2019
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