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Individual

ZAID AFEWORKI TECLEAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7891 BLACK WILLOW DR, BLACKLICK, OH 43004-5034
(614) 371-5345
Mailing address
7891 BLACK WILLOW DR, BLACKLICK, OH 43004-5034
(614) 371-5345

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400471660305
OH

Other

Enumeration date
03/11/2024
Last updated
03/11/2024
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