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Individual

EBUNOLUWA B WION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
2014 BALTIMORE REYNOLDSBURG RD, REYNOLDSBURG, OH 43068-3261
(614) 533-6440
(614) 533-0140
Mailing address
PO BOX 745, PATASKALA, OH 43062-0745

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.009323
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2906627
OH
01
4259541
MEDICARE
OH
01
4259542
MEDICARE PTAN
OH
Enumeration date
05/10/2007
Last updated
12/15/2021
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