Individual
KILLIAN R TRAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1341 NORTON AVE, COLUMBUS, OH 43212-3187
(419) 617-5726
Mailing address
1341 NORTON AVE, COLUMBUS, OH 43212-3187
(419) 617-5726
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
OH
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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