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1245331941
JAMES R LEBOLT
GRAND RAPIDS, MI
NPI
1245331941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: MI 5101015061)
Enumeration Date
2006-09-26
Last Update Date
2024-11-05
Business Address
JAMES R LEBOLT DO
2770 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525-8614
Phone number: 616-267-8860
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Mailing Address
JAMES R LEBOLT DO
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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