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1124295134
MICHAEL JAY BOLING
LODI, CA
NPI
1124295134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA C53128)
Enumeration Date
2008-05-09
Last Update Date
2008-05-09
Business Address
-- MICHAEL JAY BOLING M.D.
2401 W TURNER RD STE 450
LODI, CA 95242-2191
Phone number: 209-373-2859
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Mailing Address
-- MICHAEL JAY BOLING M.D.
1600 50TH ST
SACRAMENTO, CA 95819-4409
Phone number: 916-452-3509
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