Individual
OLGA N GAVRILENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6674 WESTON CIR W, DUBLIN, OH 43016-7901
(614) 595-1055
(614) 873-2040
Mailing address
1091 KEMPTON RUN DR, COLUMBUS, OH 43235-3508
(614) 506-9378
(614) 844-5735
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.12424-NP
OH
Other
Enumeration date
10/17/2011
Last updated
12/05/2011
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