Individual
MARY BOKSANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6372 LEDGEBROOK DR, BROOKPARK, OH 44142-3744
(216) 386-9884
Mailing address
6372 LEDGEBROOK DR, BROOKPARK, OH 44142-3744
(216) 386-9884
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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