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Codye Boutin
NPI 1316599277 · on the registry since 2019 · sole proprietor
Practice
- Address
- 5117 W Pershing Ave
Glendale, AZ 85304 - Phone
- (623) 628-2776
Registry record
- Primary taxonomy
- 2355S0801X
2355S0801X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-11
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 Arizona