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Individual
MARC BOULTS
Active
Individual
MARC BOULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 26221
FL
Other
Enumeration date
02/16/2011
Last updated
04/17/2014
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