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Individual
RACHEL L BOVALINA
Active
Individual
RACHEL L BOVALINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA056528
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103226130
—
PA
Enumeration date
10/16/2013
Last updated
07/30/2018
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