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Individual

JORDYN NICOLE HOWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
657 S OHIO AVE, COLUMBUS, OH 43205-2743
(614) 258-8004
Mailing address
1515 INDIANOLA AVE, COLUMBUS, OH 43201-2118

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
UH701428
OH
Enumeration date
01/11/2022
Last updated
01/11/2022
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