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Individual

KENDRICK MOSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5745 GAY ST, TOLEDO, OH 43613-1846
(419) 318-9669
Mailing address
5745 GAY ST, TOLEDO, OH 43613-1846

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
236
OH
01
568946544
BCBS
01
5874
HEALTH PARTNERS
Enumeration date
06/28/2024
Last updated
06/28/2024
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