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Individual

BRITTANNI KEITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1789 COLLEGE PARK DR, COLUMBUS, OH 43209-3344
(614) 302-9651
Mailing address
1789 COLLEGE PARK DR, COLUMBUS, OH 43209-3344
(614) 302-9561

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
135848
OH

Other

Enumeration date
02/22/2011
Last updated
02/22/2011
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