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Individual

DR. ROGER O'SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
5320 CLEVELAND AVE, COLUMBUS, OH 43231-4783
(614) 890-3939
(614) 890-2218
Mailing address
5320 CLEVELAND AVE, COLUMBUS, OH 43231-4783
(614) 890-3939
(614) 890-2218

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2198
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0144552
OH
Enumeration date
11/01/2006
Last updated
07/08/2007
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