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Individual

TOSHA C BOWERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2624 SUSSEX ST SE, WARREN, OH 44484-4422
(234) 806-7807
Mailing address
2624 SUSSEX ST SE, WARREN, OH 44484-4422
(234) 806-7807

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
5555555
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0181442
OH
Enumeration date
01/12/2017
Last updated
01/12/2017
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