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1154562403
LISA FERGUSON BOLIN
APO, AP
NPI
1154562403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2009-03-17
Last Update Date
2009-03-17
Business Address
Dr. LISA FERGUSON BOLIN DPT
374 MEDICAL AIR GROUP UNIT 5071
APO, AP 96328-5071
Phone number: 315-225-7508
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Mailing Address
Dr. LISA FERGUSON BOLIN DPT
374 MDG/SGHC UNIT 5071
APO, AP 96328-5071
Phone number: 315-225-7508
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