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Individual
TERRY BOKSBERGER
Active
Individual
TERRY BOKSBERGER
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
107105
MN
207Q00000X
Family Medicine Physician
2011-00868
NC
207Q00000X
Family Medicine Physician
5101016814
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5919235
—
NC
Enumeration date
08/18/2007
Last updated
02/25/2016
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