Individual
BOKAMANO NSONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1546 FAHLANDER DR S, COLUMBUS, OH 43229-5110
(937) 554-5635
Mailing address
1546 FAHLANDER DR S, COLUMBUS, OH 43229-5110
(937) 554-5635
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
SL126947
OH
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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