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Individual
MS. KAY A BOLTON
Active
Individual
MS. KAY A BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. SP ED
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
112353
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174400000X
TEACHER
NY
05
—
174400000X
—
NY
Enumeration date
06/13/2012
Last updated
06/13/2012
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