Individual
HENOCK W TEQUABO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6536 ROSEBROOK LN, REYNOLDSBURG, OH 43068-4347
(614) 556-7233
(614) 556-7233
Mailing address
6536 ROSEBROOK LN, REYNOLDSBURG, OH 43068-4347
(614) 556-7233
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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