Omallah Bush AUD

NPI 1093719874 - Audiologist - 231H00000X

NPI Details
NPI 1093719874
Gender Female
Enumeration Date 06/09/2005
Last Updated 03/28/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1207 W STATE ST
SUITE #E
ALLIANCE OH, 44601-4686, US
Phone (330) 821-2012
Fax (330) 823-4799
Business Location
2510 E SUNSET RD
UNIT 5-260
LAS VEGAS NV, 89120-3511, US
Phone (702) 798-0113
Fax (866) 291-5242
Toxanomy
Taxonomy Code 231H00000X
License State Ohio
License Number A-01176
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According to our database, Omallah Bush AUD NPI is 1093719874, taxonomy code is 231H00000X and license number is A-01176, license state is located at Ohio. Omallah Bush AUD physically located at 1207 W State St, Alliance OH, 44601-4686. NPI Number Omallah Bush AUD has the Individual type.

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1093719874 NPI number is provided on an as is basis without warranty of any kind. 1093719874 is maintained by the National Plan & Provider Enumeration System. The contents of Omallah Bush AUD are for informational purposes only.