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Individual

MR. DENVER E ROACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
2785 GOSLING WAY, COLUMBUS, OH 43207-6510
(614) 633-5521
Mailing address
2785 GOSLING WAY, COLUMBUS, OH 43207-6510
(614) 633-5521

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN.274966
OH

Other

Enumeration date
02/12/2015
Last updated
02/12/2015
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