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Individual

AURELE M TIOGOUONG MAFOUO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATM

Contact information

Practice address
4869 KINGSHILL DR APT 209, COLUMBUS, OH 43229-6263
(443) 410-8102
Mailing address
4869 KINGSHILL DR APT 209, COLUMBUS, OH 43229-6263
(443) 410-8102

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
652326-DD00296558
OH
208VP0000X
Pain Medicine Physician
652326-DD00296558
OH
251J00000X
Nursing Care Agency
652326-DD00296558
OH
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
652326-DD00296558
OH

Other

Enumeration date
01/06/2025
Last updated
01/06/2025
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