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Individual

MARGARET BOBONICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-8200
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP05789
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000225182
UNISON
OH
01
000000542367
ANTHEM
OH
05
2536036
OH
01
414950
WELLCARE
OH
01
7500585
AETNA
OH
01
751104
BUCKEYE
Enumeration date
01/25/2007
Last updated
12/17/2020
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