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1336179225
PHILIP L. BOLTON
BLOOMINGTON, IL
NPI
1336179225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 0038-003600)
Enumeration Date
2006-07-04
Last Update Date
2007-07-08
Business Address
Dr. PHILIP L. BOLTON D.C.
211 S PROSPECT RD STE 5
BLOOMINGTON, IL 61704-4907
Phone number: 309-662-7788
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Mailing Address
Dr. PHILIP L. BOLTON D.C.
211 S PROSPECT RD STE 5
BLOOMINGTON, IL 61704-4907
Phone number: 309-662-7788
Copy
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