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1710116520
ALBERT M. BOHOLST
CRYSTAL RIVER, FL
NPI
1710116520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: FL ME36564)
Enumeration Date
2009-07-14
Last Update Date
2009-07-14
Business Address
Mr. ALBERT M. BOHOLST M.D.
730 S.E. 5TH TERRACE
CRYSTAL RIVER, FL 34429
Phone number: 352-795-0141
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Mailing Address
Mr. ALBERT M. BOHOLST M.D.
P.O. BOX 958
CRYSTAL RIVER, FL 34423
Phone number: 352-795-0141
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