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1558310649
ANDREW M. BOUGHAL
FLORENCE, OR
NPI
1558310649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: OR DO13869)
Enumeration Date
2006-05-08
Last Update Date
2009-12-09
Business Address
-- ANDREW M. BOUGHAL D.O.
530 9TH ST
FLORENCE, OR 97439
Phone number: 541-997-7104
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Mailing Address
-- ANDREW M. BOUGHAL D.O.
530 9TH ST
FLORENCE, OR 97439-7388
Phone number: 541-997-7104
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