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1083190649
WYATT JAMES BOLES
KENNEWICK, WA
NPI
1083190649
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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
2018-07-17
Last Update Date
2018-07-17
Business Address
WYATT JAMES BOLES DO
216 W 10TH AVE
KENNEWICK, WA 99336-6300
Phone number: 509-221-5520
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Mailing Address
WYATT JAMES BOLES DO
2912 S TACOMA PL
KENNEWICK, WA 99337-2880
Phone number: 801-472-3209
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