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George Boukas

NPI 1285228197 · on the registry since 2021 · sole proprietor

Practice

Address
4526 Glen Eagle Dr
Brecksville, OH 44141
Phone
(336) 337-8492

Registry record

Primary taxonomy
1223P0221X
1223P0221X
Also registered as
390200000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-29

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