Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Apr 26, 2011
License(s)
Ap120447 (TX), 728330 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 4200 REGENT ST STE 200 | Columbus, OH 43219-6229 | 877-870-1775 |
| LOCATION | 4200 REGENT ST STE 200 | Columbus, OH 43219-6229 | 877-870-1775 |
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