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1649941709
ALONSO BOLIVAR
DEDHAM, MA
NPI
1649941709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MA PA9018)
Enumeration Date
2021-09-27
Last Update Date
2023-11-14
Business Address
ALONSO BOLIVAR PA-C
983 BOSTON-PROVIDENCE TURNPIKE
DEDHAM, MA 02026
Phone number: 781-819-6400
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Mailing Address
ALONSO BOLIVAR PA-C
360 US HIGHWAY 1 BYP UNIT 102
PORTSMOUTH, NH 03801-7105
Phone number: 603-410-6700
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