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Individual

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Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10 N HIGH ST, COLUMBUS, OH 43215-3496
(314) 225-8335
Mailing address
720 ANNAPOLIS AVE, AKRON, OH 44310-1604

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
05/07/2025
Last updated
05/07/2025
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