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Individual

GRANT G WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3042 MCKINLEY AVE, COLUMBUS, OH 43204-3653
(614) 487-7805
Mailing address
1145 N HIGH ST UNIT 210, COLUMBUS, OH 43201-2476
(614) 556-2889

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/11/2020
Last updated
02/11/2020
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