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Individual
MAUREEN CROTTY BOYLAN
Active
Individual
MAUREEN CROTTY BOYLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1728
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000247405
ANTHEM BCBS
—
05
—
0900529
—
OH
Enumeration date
11/14/2005
Last updated
06/12/2009
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