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1114496841
KENNETH BOLL
LAS VEGAS, NV
NPI
1114496841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date
2018-11-26
Last Update Date
2018-11-26
Business Address
KENNETH BOLL
9811 W CHARLESTON BLVD # 2-641
LAS VEGAS, NV 89117-7528
Phone number: 855-864-4322
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Mailing Address
KENNETH BOLL
33730 DESERT RD
ACTON, CA 93510-1420
Phone number: 805-330-7994
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