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1376508093
BRENT L BOLIN
LOUISVILLE, KY
NPI
1376508093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 33921)
Enumeration Date
2006-04-18
Last Update Date
2016-07-09
Business Address
-- BRENT L BOLIN MD
7926 PRESTON HWY STE 106
LOUISVILLE, KY 40219-3848
Phone number: 502-964-4357
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Mailing Address
-- BRENT L BOLIN MD
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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