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Individual

MRS. ANGELA BLAIR BOYKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
115 BRITTIN AVE, BRIDGEPORT, CT 06605-3419
(203) 870-1751
(203) 870-1751
Mailing address
115 BRITTIN AVE, BRIDGEPORT, CT 06605-3419
(203) 870-1751
(203) 870-1751

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
11.035623
CT
164W00000X
Licensed Practical Nurse
Primary
278790
NY

Other

Enumeration date
05/03/2011
Last updated
05/03/2011
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