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Tammy Bostelman

NPI 1801210786 · on the registry since 2014 · sole proprietor

Practice

Address
802 W Indiana St
Edon, OH 43518
Phone
(419) 272-3213
Organisation at this address
Edon-Northwest Local Sd
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-02-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio