BONNIE SUE BALTOSSER

BRYAN, OH
NPI1780878579
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy302F00000X Exclusive Provider Organization
(Licence: OH  PN 033077)
Enumeration Date2007-09-05
Last Update Date2007-09-05
Business Address
Mrs. BONNIE SUE BALTOSSER
415 PARKVIEW AVE
BRYAN, OH 43506-1636
Phone number: 419-636-0086
Mailing Address
Mrs. BONNIE SUE BALTOSSER
415 PARKVIEW AVE
BRYAN, OH 43506-1636
Phone number: 419-636-0086