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1053452243
JAMES RANDALL BOLTON
DAVENPORT, IA
NPI
1053452243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IA 00037)
Enumeration Date
2007-02-09
Last Update Date
2008-06-20
Business Address
JAMES RANDALL BOLTON LISW
1441 W CENTRAL PARK AVE
DAVENPORT, IA 52804-1707
Phone number: 563-888-6275
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Mailing Address
JAMES RANDALL BOLTON LISW
1441 W CENTRAL PARK AVE
DAVENPORT, IA 52804-1707
Phone number: 563-888-6275
Copy
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