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Individual

ELLIS OPUSUNJU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8929 WHITE OAK DR, CANAL WINCHESTER, OH 43110-8028
(614) 920-3668
Mailing address
8929 WHITE OAK DR, CANAL WINCHESTER, OH 43110-8028
(614) 920-3668

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
RN 317533
OH
363LF0000X
Family Nurse Practitioner
Primary
14747
OH

Other

Enumeration date
07/17/2008
Last updated
09/05/2014
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