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1144784067
KELVIN LAMONT BOLAR
ORANGE PARK, FL
NPI
1144784067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: FL CH12689)
Enumeration Date
2019-01-24
Last Update Date
2019-01-24
Business Address
KELVIN LAMONT BOLAR
1218 PARK AVE
ORANGE PARK, FL 32073-4152
Phone number: 904-269-2437
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Mailing Address
KELVIN LAMONT BOLAR
1218 PARK AVE
ORANGE PARK, FL 32073-4152
Phone number: 904-269-2437
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