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DR. KATHARINE LAINE BOYD MD

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1073018461

Individual Registrant:
DR. KATHARINE LAINE BOYD MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3349 MILLWOOD WAY  SAINT AUGUSTINE, FL 32086-5094 US
Tel: 704-657-7585  Fax: --

Contact information for business:
3349 MILLWOOD WAY  SAINT AUGUSTINE, FL 32086-5094 US
Tel: 704-657-7585  Fax: --

Registration Information:
NPI: 1073018461
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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