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1629098918
KELLE DANIELLE BOLDEN
COLUMBIA, SC
NPI
1629098918
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Former Name
KELLE BOLDEN ROUSE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: SC 29209)
Enumeration Date
2006-07-20
Last Update Date
2016-12-05
Business Address
-- KELLE DANIELLE BOLDEN M.D.
11 ATRIUM RIDGE CT
COLUMBIA, SC 29223-6438
Phone number: 803-699-9992
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Mailing Address
-- KELLE DANIELLE BOLDEN M.D.
PO BOX 402145
ATLANTA, GA 30384-2145
Phone number: 803-296-7305
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