Individual
SHEENA KOEBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2571 NEIL AVE, COLUMBUS, OH 43202-2522
(614) 365-5220
Mailing address
2571 NEIL AVE, COLUMBUS, OH 43202-2522
(614) 365-5220
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OH1491627
OH
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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