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Individual
DR. JAYLA ANN BOSTIC
Active
Individual
DR. JAYLA ANN BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.080091
IL
208000000X
Pediatrics Physician
Primary
125.080091
IL
Other
Enumeration date
05/21/2022
Last updated
05/21/2022
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