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Individual

WINNIE J BOSIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
100 N HOWARD ST STE W, SPOKANE, WA 99201-0508
(817) 225-5781
Mailing address
1301 E DEBBIE LN STE 102, MANSFIELD, TX 76063-3376
(214) 210-2846

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1075225
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1075225
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61528370
WA

Other

Enumeration date
05/17/2022
Last updated
06/26/2025
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