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1073562997
RUSSELL L BOLYARD
MEMPHIS, TN
NPI
1073562997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: TN P00907)
Enumeration Date
2006-05-08
Last Update Date
2012-04-26
Business Address
-- RUSSELL L BOLYARD Psy.D.
1282 UNION AVE HEALTH SOUTH REHABILITATION HOSPITAL
MEMPHIS, TN 38104-3414
Phone number: 901-729-5159
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Mailing Address
-- RUSSELL L BOLYARD Psy.D.
9477 CEDAR GLEN CV
CORDOVA, TN 38016-4700
Phone number: 901-729-5159
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