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Individual

DR. JACLYN J BOHM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
15705 CIMARRON AVE, ROSEMOUNT, MN 55068
(651) 322-8800
(651) 322-8840
Mailing address
15075 CIMARRON AVE, ROSEMOUNT, MN 55068-1635
(651) 322-8800
(651) 322-8840

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
842
MN

Other

Enumeration date
06/06/2008
Last updated
07/25/2012
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