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Individual

MISS TIONA LYNN GOSHA I

Active
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Individual

MISS TIONA LYNN GOSHA I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, LPC

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
C0700085
OH
101YP2500X
Professional Counselor
Primary
C 0700085
OH
163W00000X
Registered Nurse
184597
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2268531
OH
Enumeration date
09/08/2005
Last updated
04/03/2009
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