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Individual
FESE E BOKOSAH
Active
Individual
FESE E BOKOSAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1032974
DC
363LG0600X
Gerontology Nurse Practitioner
R205199
MD
363LG0600X
Gerontology Nurse Practitioner
RN1032974
DC
Other
Enumeration date
09/11/2020
Last updated
06/23/2025
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