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Individual

DR. DONNA SHERYL BOATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
4531 S 7TH ST, TERRE HAUTE, IN 47802-4503
(812) 234-3277
(812) 234-3507
Mailing address
4531 S 7TH ST, TERRE HAUTE, IN 47802-4503
(812) 234-3277
(812) 234-3507

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
147-000091
IL
231H00000X
Audiologist
Primary
23002188A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200888140
IN
Enumeration date
01/03/2008
Last updated
03/18/2013
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