NPI 1184380271

Jordan Bok, PREVENTIONSPECIALIS

Practitioner Prevention Professional Defiance, OH

Practice location

Address: 511 Perry St, Defiance, OH 43512-2123
Phone: (419) 782-9920

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence RA.162833 (OH)

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Registry record

NPI: 1184380271
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Nov 2021
Record last updated: 12 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.