JONATHON BOULIS

OWOSSO, MI
NPI1356052807
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2022-12-06
Last Update Date2022-12-06
Business Address
JONATHON BOULIS
1634 LYNN ST
OWOSSO, MI 48867-3342
Phone number: 989-627-7242
Mailing Address
JONATHON BOULIS
1634 LYNN ST
OWOSSO, MI 48867-3342
Phone number:
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