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1407258510
GENNADY BOLDETSKY
WHEELING, IL
NPI
1407258510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: IL 198001173)
Enumeration Date
2014-09-19
Last Update Date
2014-09-19
Business Address
GENNADY BOLDETSKY
1040 S MILWAUKEE AVE SUITE 100
WHEELING, IL 60090-6373
Phone number: 847-366-9518
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Mailing Address
GENNADY BOLDETSKY
7975 N NORDICA AVE
NILES, IL 60714-3315
Phone number: 847-366-9518
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