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1396125514
LISA BOLHOUSE
TALLAHASSEE, FL
NPI
1396125514
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Entity Type
Organization
Authorized Contact
LISA MARIE BOLHOUSE
Owner, Private Practice
850-443-8977
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: FL SW1872)
Enumeration Date
2015-06-03
Last Update Date
2015-06-03
Business Address
LISA BOLHOUSE
109 W 4TH AVE
TALLAHASSEE, FL 32303-6152
Phone number: 850-443-8977
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Mailing Address
LISA BOLHOUSE
4996 BRANDED OAKS CT
TALLAHASSEE, FL 32311-8834
Phone number: 850-443-8977
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