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Individual

MRS. ANTOINETTE BOHANON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
693 QUILLIAMS RD, SOUTH EUCLID, OH 44121-1964
(216) 691-1561
Mailing address
693 QUILLIAMS RD, SOUTH EUCLID, OH 44121-1964
(216) 691-1561

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
310952
OH

Other

Enumeration date
05/21/2007
Last updated
07/08/2007
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