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Individual

MISS ALYSSE JAYNE BOYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10955 CAPITAL PKWY, CONCORD TOWNSHIP, OH 44077-9394
(312) 635-0973
(702) 977-1496
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(312) 635-0973
(702) 977-1496

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-004144
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2661525
OH
Enumeration date
06/04/2007
Last updated
09/17/2025
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