Individual
JURLEE LOUISE BOSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25000 ROCKSIDE RD APT 745, BEDFORD HEIGHTS, OH 44146-1929
(216) 327-5468
Mailing address
25000 ROCKSIDE RD APT 745, BEDFORD HEIGHTS, OH 44146-1929
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
SDI47177
OH
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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