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Individual
MR. BURNELL JASON BOEHLAND
Active
Individual
MR. BURNELL JASON BOEHLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
9895
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0009895
OR
Other
Enumeration date
10/13/2008
Last updated
02/06/2018
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