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1003318338
MIKAILA E BOLDT
SOUTHERN PINES, NC
NPI
1003318338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P22022)
Enumeration Date
2018-03-02
Last Update Date
2024-02-14
Business Address
MIKAILA E BOLDT DPT
580 S PAGE ST
SOUTHERN PINES, NC 28387-5837
Phone number: 717-673-2476
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Mailing Address
MIKAILA E BOLDT DPT
1327 SE TACOMA ST UNIT 122
PORTLAND, OR 97202-6639
Phone number: 971-361-9442
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