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1407193840
ISSAC ISAIAH BOLANOS
AUSTIN, TX
NPI
1407193840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA08063)
Enumeration Date
2013-01-04
Last Update Date
2013-01-04
Business Address
-- ISSAC ISAIAH BOLANOS PA
1313 RED RIVER ST SUITE 200
AUSTIN, TX 78701-1943
Phone number: 512-391-1751
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Mailing Address
-- ISSAC ISAIAH BOLANOS PA
1313 RED RIVER ST SUITE 200
AUSTIN, TX 78701-1943
Phone number: 512-391-1751
Copy
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