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Individual

BOSE DELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
115 E MAIN ST # A1B-215, BUFORD, GA 30518-5727
(470) 331-6633
Mailing address
115 E MAIN ST # A1B-215, BUFORD, GA 30518-5727

Taxonomy

Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
RN250758
GA

Other

Enumeration date
10/23/2025
Last updated
10/23/2025
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