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Individual

MRS. CHALTU GEBISSA BARO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
940 MATTERHORN DR, REYNOLDSBURG, OH 43068-1714
(614) 499-2096
(614) 626-3702
Mailing address
940 MATTERHORN DR, REYNOLDSBURG, OH 43068-1714
(614) 499-2096
(614) 626-3702

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
824098469
OH
Enumeration date
04/18/2018
Last updated
04/18/2018
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