Charles Gordon Borba
NPI #1497243620 in Bellefontaine, Ohio
Provider Information
- NPI Number
- 1497243620
- Entity Type
- Individual
- Name
- Charles Gordon Borba
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Apr 24, 2018
- Last Updated
- Apr 24, 2018
Practice Location
- Address
- 118 MAPLE AVE
- City
- Bellefontaine
- State
- Ohio
- ZIP Code
- 43311-1619
- Phone
- (937) 599-1975
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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