Individual
JENNIFER BOGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 S STEWART AVE, FREMONT, MI 49412-1624
(231) 924-3456
(231) 924-3443
Mailing address
8054 MEINERT PARK RD, MONTAGUE, MI 49437-8708
(231) 924-3456
(231) 924-3443
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501008414
MI
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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