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Individual
KWAKU BONSU
Active
Individual
KWAKU BONSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN132933
OH
251E00000X
Home Health Agency
PN132933
OH
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
PN132933
OH
Other
Enumeration date
06/11/2013
Last updated
12/10/2014
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