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1720054125
ALTIMUS RAY BOLLEN
MALVERN, AR
NPI
1720054125
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Other Name
RAY BOLLEN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: AR C6072)
Enumeration Date
2006-02-24
Last Update Date
2008-05-22
Business Address
Dr. ALTIMUS RAY BOLLEN M.D.
1002 SCHNEIDER DR SUITE 104
MALVERN, AR 72104-4816
Phone number: 501-337-9066
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Mailing Address
Dr. ALTIMUS RAY BOLLEN M.D.
11001 EXECUTIVE CENTER DR SUITE 200
LITTLE ROCK, AR 72211-4316
Phone number: 501-812-7587
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