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Individual

JUANITA THERESA WOODBERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
S.T.N.A

Contact information

Practice address
3632 TORWOOD RD, COLUMBUS, OH 43232-6021
(614) 515-8044
Mailing address
3632 TORWOOD RD, COLUMBUS, OH 43232-6021
(614) 515-8044

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
400806330908
OH

Other

Enumeration date
09/15/2009
Last updated
09/15/2009
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