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Individual

GRACE EKUKOLE-SONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8208 REYNOLDSWOOD DR, REYNOLDSBURG, OH 43068-9333
(614) 314-5416
Mailing address
8208 REYNOLDSWOOD DR, REYNOLDSBURG, OH 43068-9333
(614) 314-5416

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN299776
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2609921
OH
Enumeration date
07/16/2008
Last updated
07/16/2008
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