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1396723581
JOHN BOLLA
PALM COAST, FL
NPI
1396723581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME0069906)
Enumeration Date
2006-01-06
Last Update Date
2020-01-17
Business Address
Dr. JOHN BOLLA
61 MEMORIAL MEDICAL PKWY SUITE 3803
PALM COAST, FL 32164-5981
Phone number: 386-586-1760
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Mailing Address
Dr. JOHN BOLLA
61 MEMORIAL MEDICAL PKWY SUITE 3803
PALM COAST, FL 32164-5981
Phone number: 386-586-1760
Copy
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