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Individual

DR. MARILYN JEAN BOEHM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
152 E IVYBRIDGE DR, 104, HUBERT, NC 28539-4462
(910) 219-1339
Mailing address
152 E IVYBRIDGE DR, HUBERT, NC 28539-4462
(252) 646-3338

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31962
NC

Other

Enumeration date
08/14/2007
Last updated
10/15/2008
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