TIMOTHY J BOLEN

NEWTON, KS
NPI1104191899
Other NameTIM BOLEN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: KS  11-01593)
Enumeration Date2012-03-14
Last Update Date2012-03-14
Business Address
Mr. TIMOTHY J BOLEN PT
2311 S KANSAS RD
NEWTON, KS 67114-9032
Phone number: 316-283-7187
Mailing Address
Mr. TIMOTHY J BOLEN PT
2311 S KANSAS RD
NEWTON, KS 67114-9032
Phone number: 316-283-7187
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