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1265721633
ROLPH M BOLSTAD
SAINT LOUIS, MO
NPI
1265721633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 142123)
Enumeration Date
2011-04-06
Last Update Date
2011-04-06
Business Address
-- ROLPH M BOLSTAD CRNA
2345 DOUGHERTY FERRY RD
SAINT LOUIS, MO 63122-3313
Phone number: 314-775-2816
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Mailing Address
-- ROLPH M BOLSTAD CRNA
13523 BARRETT PARKWAY DR STE 210
BALLWIN, MO 63021-3802
Phone number: 314-775-2816
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