Individual
MS. TARA JANE WOGGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
18821 MERCER RD, BOWLING GREEN, OH 43402-9606
(419) 308-9636
Mailing address
18821 MERCER RD, BOWLING GREEN, OH 43402-9606
(419) 308-9636
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN.092665
OH
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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