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Individual

MRS. TAMMY COGSWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3904 WARREN SHARON RD., VIENNA, OH 44473
(330) 501-7881
Mailing address
3904 WARREN SHARON RD, VIENNA, OH 44473-9543
(330) 501-7881

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
253Z00000X
In Home Supportive Care Agency
Primary
347C00000X
Private Vehicle

Other

Enumeration date
11/02/2022
Last updated
11/02/2022
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