Individual
BAILEE MARIE COSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E PERRY ST, TIFFIN, OH 44883-2310
(419) 618-4753
Mailing address
111 E PERRY ST, TIFFIN, OH 44883-2310
(419) 618-4753
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
UU860129
OH
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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