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Individual

KOMI KPOGLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
124 URICH DR, PICKERINGTON, OH 43147-7833
(859) 457-0032
Mailing address
124 URICH DR, PICKERINGTON, OH 43147-7833
(859) 457-0032

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
316816
OH
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
APRN.CNS.019314
OH

Other

Enumeration date
09/21/2011
Last updated
01/11/2017
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