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1104820935
KEVIN M BOLAND
LA CROSSE, WI
NPI
1104820935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WI 1127)
Enumeration Date
2005-06-09
Last Update Date
2007-07-08
Business Address
-- KEVIN M BOLAND PHD
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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Mailing Address
-- KEVIN M BOLAND PHD
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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