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Stephanie L Cotell

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NPI Number Detailed Information

Provider Information:

Name: Stephanie L Cotell
Gender: F
Provider License Number If Given: 35079994C

NPI Information:

NPI: 1922093459
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 6/3/2009

Provider Business Mailing Address:

Address: 925 N HAMILTON RD STE 100
Gahanna, OH 43230
Phone Number: 6144739519
Fax Number: 6144739543

Provider Business Practice Location Address:

Address: 925 N HAMILTON RD STE 100
Gahanna, OH 43230
Phone Number: 6144739519
Fax Number: 6144739543

Provider Taxonomy:

Primary: 207N00000X
Secondary (if any):
State: OH

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