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1639645211
JERRY LEE BOLES
CENTRAL POINT, OR
NPI
1639645211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2018-10-22
Last Update Date
2018-10-22
Business Address
MR. JERRY LEE BOLES
1026 BEALL LN
CENTRAL POINT, OR 97502-2717
Phone number: 541-941-4085
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Mailing Address
MR. JERRY LEE BOLES
1026 BEALL LN
CENTRAL POINT, OR 97502-2717
Phone number: 541-941-4085
Copy
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