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1750037552
JOE ANTHONY BOLANOS
LOS ANGELES, CA
NPI
1750037552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-03-01
Last Update Date
2022-03-01
Business Address
JOE ANTHONY BOLANOS
1731 E 120TH ST
LOS ANGELES, CA 90059-3051
Phone number: 323-562-4800
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Mailing Address
JOE ANTHONY BOLANOS
1731 E 120TH ST
LOS ANGELES, CA 90059-3051
Phone number:
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