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Individual

AYATO OBANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
395 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 293-7567
Mailing address
395 W 12TH AVE RM 100, COLUMBUS, OH 43210-1267

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
57.255724
OH

Other

Enumeration date
07/18/2023
Last updated
07/19/2023
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