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Individual
SAMANTHA BONIN
Active
Individual
SAMANTHA BONIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA, CPT
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
OH
171M00000X
Case Manager/Care Coordinator
Primary
—
—
246RP1900X
Phlebotomy Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0348481
—
OH
Enumeration date
05/06/2019
Last updated
02/28/2021
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