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Individual
KRISTINA NICHOLE BOGAR
Active
Individual
KRISTINA NICHOLE BOGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
061943
GA
207Q00000X
Family Medicine Physician
M0667
TX
Other
Enumeration date
06/03/2006
Last updated
01/23/2020
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