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Individual
TOD OWEN BOEHM
Active
Individual
TOD OWEN BOEHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., C.C.S.P.
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
SO1535
MD
111NS0005X
Sports Physician Chiropractor
SO1535
MD
Other
Enumeration date
02/23/2007
Last updated
10/28/2015
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