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Individual

EDWARD ALPHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
ALPHAE@SOUTHEASTINC.COM, 16 W LONG ST, COLUMBUS, OH 43229
(614) 732-7490
Mailing address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 732-7490

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
09/15/2017
Last updated
07/21/2022
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