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Individual

YOLANDA MARIE SAMUELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1446 GIMBLES DR, COLUMBUS, OH 43223-3372
(929) 769-6259
Mailing address
1446 GIMBLES DR, COLUMBUS, OH 43223-3372
(929) 769-6259

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
SK573445
OH

Other

Enumeration date
04/02/2025
Last updated
04/02/2025
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