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1114474541
CHARLES BOGAN
CLEVELAND, OH
NPI
1114474541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN. 127610)
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
-- CHARLES BOGAN
4656 WALFORD RD APARTMENT 114
CLEVELAND, OH 44128-7153
Phone number: 216-804-6678
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Mailing Address
-- CHARLES BOGAN
4656 WALFORD RD APARTMENT 114
CLEVELAND, OH 44128-7153
Phone number: 216-804-6678
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