Individual
EMMANUEL AGBO AGBITOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
5029 ENCLAVE BLVD, WESTERVILLE, OH 43081-8795
(614) 899-6345
Mailing address
5029 ENCLAVE BLVD, WESTERVILLE, OH 43081-8795
(614) 899-6345
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN112496
OH
Other
Enumeration date
01/10/2010
Last updated
01/10/2010
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