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1326137803
TERRY L. BOLES
PHOENIX, AZ
NPI
1326137803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1111458)
Enumeration Date
2006-10-12
Last Update Date
2007-07-09
Business Address
Mr. TERRY L. BOLES PT
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
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Mailing Address
Mr. TERRY L. BOLES PT
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1511
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