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Individual

MRS. GRACE KAKIE AWO AIDOO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
8693 BRENSTUHL PARK DR, BLACKLICK, OH 43004-8828
(614) 989-6019
(614) 321-1788
Mailing address
8693 BRENSTUHL PARK DR, BLACKLICK, OH 43004-8828
(614) 989-6019

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
499910
OH
163W00000X
Registered Nurse
RN499910
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0040680
OH

Other

Enumeration date
05/16/2023
Last updated
02/16/2026
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