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Individual
NINO BOALS
Active
Individual
NINO BOALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
238762
MA
2085N0700X
Neuroradiology Physician
Primary
47060
TN
2085R0202X
Diagnostic Radiology Physician
N6859
TX
Other
Enumeration date
02/04/2009
Last updated
11/11/2016
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