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1487106167
KAITLIN BOLLES
SACRAMENTO, CA
NPI
1487106167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2016-10-28
Last Update Date
2016-10-28
Business Address
KAITLIN BOLLES ATC
6000 J ST
SACRAMENTO, CA 95819-2605
Phone number: 916-278-6289
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Mailing Address
KAITLIN BOLLES ATC
1729 G ST APT. #14
SACRAMENTO, CA 95811-2153
Phone number: 907-378-3413
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