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Individual

RUBY BOISCLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
116 N PAULINE ST, MEMPHIS, TN 38104-1005
(828) 406-3466
Mailing address
435 S FRONT ST APT 303, MEMPHIS, TN 38103-6436

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/02/2024
Last updated
05/02/2024
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