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Individual

MR. CHRISTOPHER MICHAEL BOSTON I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICENSED OPTICIAN

Contact information

Practice address
7951 HOPEFUL CHURCH RD, FLORENCE, KY 41042-7922
(859) 628-5186
Mailing address
7951 HOPEFUL CHURCH RD, FLORENCE, KENTUCKY 41042
(859) 628-5186

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
KY1219
KY

Other

Enumeration date
08/26/2013
Last updated
08/26/2013
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