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NPI Profile for WILBERT BOSTIC JR in COLUMBIA, MD.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Speech-Language Assistant |
2355S0801X |
| NPI Number | 1679218127 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/29/2022 | |
| Last updated | 04/29/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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WILBERT BOSTIC JR
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WILBERT BOSTIC JR