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1740923937
MATTHEW EDWARD BOLERJACK
SAN DIEGO, CA
NPI
1740923937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: CA 104470)
Enumeration Date
2022-04-15
Last Update Date
2022-04-15
Business Address
MATTHEW EDWARD BOLERJACK
7130 MIRAMAR RD STE 400
SAN DIEGO, CA 92121-2340
Phone number: 619-609-3171
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Mailing Address
MATTHEW EDWARD BOLERJACK
6879 OROLA LN
LA MESA, CA 91942-4525
Phone number: 619-609-3171
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