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Individual
MACKENZIE ELLEN BOHLEN TOWNS
Active
Individual
MACKENZIE ELLEN BOHLEN TOWNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1100
ME
363A00000X
Physician Assistant
Primary
PA2523
MA
Other
Enumeration date
08/17/2007
Last updated
04/22/2020
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