JEFFREY BOLDS

LAWTON, OK
NPI1225213648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-01-03
Last Update Date2008-01-03
Business Address
-- JEFFREY BOLDS BS
1202 SW A AVE
LAWTON, OK 73501-3821
Phone number: 580-357-6889
Mailing Address
-- JEFFREY BOLDS BS
1202 SW A AVE
LAWTON, OK 73501-3821
Phone number: 580-357-6889
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