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Organization

EDIYE ENOOBONG

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDIYE JOY ENOOBONG NURSE (LICENSED PRACTICAL NURSE)
(614) 377-9044
Entity
Organization

Contact information

Practice address
4672 HARBINGER CIR W, WHITEHALL, OH 43213-6115
(614) 377-9044
(614) 453-5712
Mailing address
4672 HARBINGER CIR W, WHITEHALL, OH 43213-6115
(614) 377-9044
(614) 453-5712

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
156004
OH

Other

Enumeration date
04/29/2014
Last updated
04/29/2014
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