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1720648595
MICHAEL BOLOSAN
NEWPORT NEWS, VA
NPI
1720648595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305212899)
Enumeration Date
2019-06-14
Last Update Date
2019-06-18
Business Address
MICHAEL BOLOSAN DPT
860 OMNI BLVD STE 103
NEWPORT NEWS, VA 23606-4430
Phone number: 757-223-9403
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Mailing Address
MICHAEL BOLOSAN DPT
860 OMNI BLVD STE 303
NEWPORT NEWS, VA 23606-4477
Phone number: 757-232-8769
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