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Individual
MR. CHRISTOPHER MICHAEL BOSTON I
Active
Individual
MR. CHRISTOPHER MICHAEL BOSTON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICENSED OPTICIAN
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
KY1219
KY
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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