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Individual
RYAN BOUTIN
Active
Individual
RYAN BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
53426
CT
208M00000X
Hospitalist Physician
Primary
53426
CT
Other
Enumeration date
05/21/2010
Last updated
08/07/2014
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