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Individual

ALTA FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4723 OLDE COLONY WAY, COLUMBUS, OH 43213-4037
(614) 483-8788
Mailing address
4723 OLDE COLONY WAY, COLUMBUS, OH 43213-4037
(614) 483-8788

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
10/20/2021
Last updated
10/20/2021
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