Ommari Baaliy Mkangara LPN

NPI 1194065417 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1194065417
Gender Male
Enumeration Date 02/22/2013
Last Updated 02/22/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
6543 QUAIL CREEK DR
CANAL WINCHESTER OH, 43110-9393, US
Phone (614) 887-8287
Fax
Business Location
6543 QUAIL CREEK DR
CANAL WINCHESTER OH, 43110-9393, US
Phone (614) 887-8287
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number PN 135852
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According to our database, Ommari Baaliy Mkangara LPN NPI is 1194065417, taxonomy code is 164W00000X and license number is PN 135852, license state is located at Ohio. Ommari Baaliy Mkangara LPN physically located at 6543 Quail Creek Dr, Canal Winchester OH, 43110-9393. NPI Number Ommari Baaliy Mkangara LPN has the Individual type.

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1194065417 NPI number is provided on an as is basis without warranty of any kind. 1194065417 is maintained by the National Plan & Provider Enumeration System. The contents of Ommari Baaliy Mkangara LPN are for informational purposes only.