Individual
ADELINE AGBOTUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 S HIGH ST, COLUMBUS, OH 43207-1045
(614) 445-8131
Mailing address
1430 S HIGH ST, COLUMBUS, OH 43207-1045
(614) 445-8131
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.170997.MEDSIV
OH
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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