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Organization

4G LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABDIAZIZ FARAH (OWNER)
(614) 674-8628
Entity
Organization

Contact information

Practice address
3248 CLEVELAND AVE, 2ND FLOOR SUITE 17, COLUMBUS, OH 43224-3615
(614) 674-8628
Mailing address
7875 WAGGONER GROVE BLVD, BLACKLICK, OH 43004-8077
(614) 674-8628

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
TF766470
OH

Other

Enumeration date
10/08/2015
Last updated
10/08/2015
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