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1235570573
WALTER C BUBOLTZ
RUSTON, LA
NPI
1235570573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: LA 870)
Enumeration Date
2013-07-15
Last Update Date
2013-07-15
Business Address
Dr. WALTER C BUBOLTZ Ph.D.
2101 WALNUT AVE
RUSTON, LA 71270-5145
Phone number: 318-512-9637
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Mailing Address
Dr. WALTER C BUBOLTZ Ph.D.
2101 WALNUT AVE
RUSTON, LA 71270-5145
Phone number: 318-512-9637
Copy
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