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Individual

MR. ERNEST NANA AGYEMANG-BOTCHWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
87 VERSAILLES, 87 VERSAILLES, CINCINNATI, OH 45240-3826
(513) 307-8898
Mailing address
87 VERSAILLES, 11100 SPINGFIELD PIKE,CINCINNATI,OHIO 45246, CINCINNATI, OH 45240-3826
(513) 307-8898

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
160610
OH
376G00000X
Nursing Home Administrator
160610
OH

Other

Enumeration date
10/11/2016
Last updated
10/11/2016
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