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Individual

JACOBINA ASUNSULEY ADAMU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2800 W BROAD ST, COLUMBUS, OH 43204-2654
(614) 274-4171
Mailing address
2800 W BROAD ST, COLUMBUS, OH 43204-2654
(614) 274-4171
(614) 725-2291

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0027750
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1467690495
OH
Enumeration date
10/08/2020
Last updated
06/02/2023
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