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1114285483
TELLIS BOLDEN
POMPANO BEACH, FL
NPI
1114285483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2012-04-24
Last Update Date
2012-04-24
Business Address
-- TELLIS BOLDEN
2708 NE 14TH ST SUITE 5
POMPANO BEACH, FL 33062-3565
Phone number: 888-880-9270
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Mailing Address
-- TELLIS BOLDEN
4521 NW 7TH ST
PLANTATION, FL 33317-1519
Phone number: 954-530-2634
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