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Individual

CYRILLIA LUCILLE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2160 N HIGH ST, COLUMBUS, COLUMBUS, COLUMBUS, OH 43201
(614) 294-2105
Mailing address
5223 OHIO ST, APARTNENT #1 SOUTH CHARLESTON, VIRGINIA, WV 25309
(937) 931-5601

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
RN207010
OH
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
12/30/2020
Last updated
12/20/2023
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