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1700311255
GLENDA BOLES
BARBOURVILLE, KY
NPI
1700311255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT1255)
Enumeration Date
2017-04-21
Last Update Date
2017-04-21
Business Address
-- GLENDA BOLES
310 COLLEGE STREET BOX D22
BARBOURVILLE, KY 40906-1410
Phone number: 606-622-1651
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Mailing Address
-- GLENDA BOLES
CPO BOX 22 310 COLLEGE STREET
BARBOURVILLE, KY 40906-1410
Phone number: 606-622-1651
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