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INGRID ALLISON BOZEMAN
Rehabilitation >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1396409637
Individual Registrant: INGRID ALLISON BOZEMAN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
14615 NW 143RD PL ALACHUA, FL 32615-8553 US
Tel: 352-275-7825 Fax: --
Tel: 352-275-7825 Fax: --
Contact information for business:
14615 NW 143RD PL ALACHUA, FL 32615-8553 US
Tel: 352-275-7825 Fax: --
Tel: 352-275-7825 Fax: --
Registration Information:
NPI: 1396409637
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163WR0400X | Nursing Service Providers Registered Nurse Rehabilitation | FL | RN9509685 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
