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Individual

JOHNNY FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1410 FULLEN RD, COLUMBUS, OH 43229-5149
(614) 499-3073
Mailing address
1410 FULLEN RD, COLUMBUS, OH 43229-5149
(614) 499-3073

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
2568298
OH

Other

Enumeration date
11/17/2020
Last updated
11/17/2020
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