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Individual

ANDREA F WELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
136 MILL ST, SUITE 120, GAHANNA, OH 43230-3059
(614) 472-0992
(614) 472-0994
Mailing address
1599 NEWPORT LOOP N, GROVE CITY, OH 43123-8177
(614) 871-7674
(614) 871-7674

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11712
OH

Other

Enumeration date
04/02/2007
Last updated
10/22/2015
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