Individual
SHARON A BORMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 N. CENTER ST, IONIA, IA 50645-9496
(641) 330-5332
Mailing address
407 N. CENTER ST, IONIA, IA 50645-9496
(641) 330-5332
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
641YY4219
IA
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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