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Individual

DIAMOND A BOURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
5218 E 88TH ST APT 202, GARFIELD HEIGHTS, OH 44125-2469
(216) 774-4227
Mailing address
5218 E 88TH ST APT 202, GARFIELD HEIGHTS, OH 44125-2469

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN.434306
OH

Other

Enumeration date
01/19/2020
Last updated
01/19/2020
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