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1144603796
AUDRIS BOL
ORLANDO, FL
NPI
1144603796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL TRN 21709)
Enumeration Date
2015-07-01
Last Update Date
2015-07-01
Business Address
-- AUDRIS BOL MD
83 COLUMBIA ST
ORLANDO, FL 32806-1101
Phone number: 321-843-3220
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Mailing Address
-- AUDRIS BOL MD
86 W UNDERWOOD ST STE 202
ORLANDO, FL 32806-1110
Phone number: 407-649-6876
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