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Lily Etemad Etemad

NPI Registration Record

Provider / OrganizationNPIDate Certified
LILY ETEMAD ETEMAD18519990152020-10-10
Entity TypeIndividual
Provider Name Lily Etemad Etemad
Practice Office Address1600 CROSS CREEKS BLVD
PICKERINGTON, OH US
Practice Office Telephone6142929100
Mailing Address808 YARD ST APT 329
COLUMBUS, OH 432123909 US
HPT Codes
CodeLicense NoState
1223G0001X PRIMARYRES.004221 OH
OPI Codes

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