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1962032433
NATHAN A BOGGS
LORAIN, OH
NPI
1962032433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.171390)
Enumeration Date
2020-01-23
Last Update Date
2020-01-23
Business Address
NATHAN A BOGGS CDCA
2115 W PARK DR
LORAIN, OH 44053-1138
Phone number: 440-989-4900
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Mailing Address
NATHAN A BOGGS CDCA
2115 W PARK DR
LORAIN, OH 44053-1138
Phone number: 440-989-4900
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