Individual
MR. ALPHA O JALLOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
216 BERGOHOLT ST, BLACKLICK, OH 43004-9538
(614) 861-0090
Mailing address
216 BERGOHOLT ST, BLACKLICK, OH 43004-9538
(614) 861-0090
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN 13047
OH
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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