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Individual
MR. JOSHUA MICHAEL BOSACK
Active
Individual
MR. JOSHUA MICHAEL BOSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP021059
PA
363LA2100X
Acute Care Nurse Practitioner
SP021059
PA
Other
Enumeration date
11/12/2019
Last updated
01/13/2020
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