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Individual

JACINDA M ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 566-8883
(614) 566-8149
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-08-7263
OH
208M00000X
Hospitalist Physician
Primary
35.087263
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2631281
OH
Enumeration date
02/02/2006
Last updated
12/22/2021
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