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1710983408
ALFRED LARRY BOULWARE
FREDERICKSBURG, VA
NPI
1710983408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0101236689)
Enumeration Date
2005-06-27
Last Update Date
2009-11-18
Business Address
Dr. ALFRED LARRY BOULWARE M.D.
3429 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22408-4170
Phone number: 540-371-1664
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Mailing Address
Dr. ALFRED LARRY BOULWARE M.D.
3429 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22408-4170
Phone number: 540-371-1664
Copy
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