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1053016105
BOLOS GERGES
GULFPORT, MS
NPI
1053016105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-30
Last Update Date
2023-03-30
Business Address
BOLOS GERGES
4500 13TH ST
GULFPORT, MS 39501-2515
Phone number: 228-867-4000
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Mailing Address
BOLOS GERGES
4500 13TH ST
GULFPORT, MS 39501-2515
Phone number: 228-867-4000
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