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Individual
MELISSA A BOLL
Active
Individual
MELISSA A BOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
5713781-4402
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D5743
—
UT
Enumeration date
04/06/2006
Last updated
09/09/2026
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