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1225280100
LARRY BOLES
SACRAMENTO, CA
NPI
1225280100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA SP4884)
Enumeration Date
2008-10-22
Last Update Date
2008-10-22
Business Address
Dr. LARRY BOLES Ph.D.
46 SANDBURG DR
SACRAMENTO, CA 95819-1833
Phone number: 916-531-2009
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Mailing Address
Dr. LARRY BOLES Ph.D.
46 SANDBURG DR
SACRAMENTO, CA 95819-1833
Phone number: 916-531-2009
Copy
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