Individual
IRINE BORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
146 FOX RIDGE WAY, TALLMADGE, OH 44278-3918
(330) 492-2717
Mailing address
146 FOX RIDGE WAY, TALLMADGE, OH 44278-3918
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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