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1013304104
SAMUEL BOLAND
GRAND RAPIDS, MI
NPI
1013304104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2015-04-16
Last Update Date
2015-04-16
Business Address
-- SAMUEL BOLAND
7390 TREELINE DR SE
GRAND RAPIDS, MI 49546-7464
Phone number: 616-443-8034
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Mailing Address
-- SAMUEL BOLAND
7390 TREELINE DR SE
GRAND RAPIDS, MI 49546-7464
Phone number:
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