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1396721429
BRIAN P BOLEY
FORT LUPTON, CO
NPI
1396721429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO 1629)
Enumeration Date
2005-12-20
Last Update Date
2007-07-13
Business Address
-- BRIAN P BOLEY PA
1115 2ND ST
FORT LUPTON, CO 80621-1745
Phone number: 303-857-4388
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Mailing Address
-- BRIAN P BOLEY PA
203 S ROLLIE AVE
FORT LUPTON, CO 80621-1508
Phone number: 303-286-4560
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