Individual
GEORGE COWELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1105 PIMLICO PARK, HOLLAND, OH 43528-8020
(567) 742-2223
Mailing address
1105 PIMLICO PARK, HOLLAND, OH 43528-8020
(567) 742-2223
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
RR754762
OH
374U00000X
Home Health Aide
Primary
RR754762
OH
Other
Enumeration date
06/17/2015
Last updated
11/02/2015
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