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Alycne Boban
NPI 1194252387 · on the registry since 2017
Practice
- Address
- 59136 Kidd Rd
Glenwood, IA 51534 - Phone
- (575) 621-9631
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-05-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa