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1033611595
DESIREE LACOLE BOSTIC
COLUMBUS, OH
NPI
1033611595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2018-03-01
Last Update Date
2019-06-25
Business Address
DESIREE LACOLE BOSTIC
1336 E MAIN ST
COLUMBUS, OH 43205
Phone number: 614-914-8781
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Mailing Address
DESIREE LACOLE BOSTIC
1336 E MAIN ST
COLUMBUS, OH 43205-2081
Phone number: 614-942-9847
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