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Individual

AMY LAWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
547 MARCUM RD, BLACKLICK, OH 43004-8201
(614) 354-9931
Mailing address
547 MARCUM RD, BLACKLICK, OH 43004-8201
(614) 354-9931

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2545928
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2545928
OH
Enumeration date
06/23/2014
Last updated
06/23/2014
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