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Individual

GEORGE P BOYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CO

Contact information

Practice address
320 E BONITA AVE, POMONA, CA 91767-1926
(909) 621-1180
(909) 624-1650
Mailing address
320 E BONITA AVE, POMONA, CA 91767-1926
(909) 621-1180
(909) 624-1650

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO001378
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GXC000770
CA
Enumeration date
05/23/2008
Last updated
05/23/2008
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