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1689004822
NATHANAEL LANG BOLTON
TEMPLE, TX
NPI
1689004822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA13389)
Enumeration Date
2013-11-26
Last Update Date
2024-04-22
Business Address
Mr. NATHANAEL LANG BOLTON PA-C
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
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Mailing Address
Mr. NATHANAEL LANG BOLTON PA-C
PO BOX 844658
DALLAS, TX 75284-4658
Phone number:
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