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Individual

DARQUARIUS BOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3605 NE LOOP 286 STE 200, PARIS, TX 75460-5091
(903) 737-4337
Mailing address
3605 NE LOOP 286 STE 200, PARIS, TX 75460-5091
(903) 737-4337

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
953150
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
953150
TX
Enumeration date
03/05/2019
Last updated
03/05/2019
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