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1225335573
BRIAN JOHN BOLZ
POUGHKEEPSIE, NY
NPI
1225335573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 296643-1)
Enumeration Date
2011-02-23
Last Update Date
2011-02-23
Business Address
Mr. BRIAN JOHN BOLZ LPN
13 LORRAINE BLVD
POUGHKEEPSIE, NY 12603-5711
Phone number: 845-462-3015
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Mailing Address
Mr. BRIAN JOHN BOLZ LPN
13 LORRAINE BLVD
POUGHKEEPSIE, NY 12603-5711
Phone number: 845-462-3015
Copy
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