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Individual

ISAAC O BOFAH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1440 ROCKSIDE RD STE 314, PARMA, OH 44134-2749
(216) 220-7557
Mailing address
8207 STRATFORD DR, PARMA, OH 44129-5509
(646) 784-2740

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2018019303
OH

Other

Enumeration date
08/20/2018
Last updated
09/23/2019
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