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Individual
MRS. DANIELLE JEANETTE BOZAAN
Active
Individual
MRS. DANIELLE JEANETTE BOZAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704259433
MI
163WP0200X
Pediatric Registered Nurse
RN305345
OH
363L00000X
Nurse Practitioner
Primary
4704259433
MI
363LP0200X
Pediatric Nurse Practitioner
NP-08364
OH
Other
Enumeration date
05/23/2006
Last updated
02/22/2008
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