Individual
EVAN JOSEPH ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 BORROR DR, COLUMBUS, OH 43210-1187
(614) 292-5134
Mailing address
120 W 11TH AVE # 547, COLUMBUS, OH 43210-1313
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/06/2019
Last updated
01/06/2019
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