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1750580049
MICHELLE BOLANO
LIBERTYVILLE, IL
NPI
1750580049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2007-07-16
Last Update Date
2007-07-16
Business Address
-- MICHELLE BOLANO D.P.T.
1800 HOLLISTER DR SUITE 205
LIBERTYVILLE, IL 60048-5263
Phone number: 847-918-7947
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Mailing Address
-- MICHELLE BOLANO D.P.T.
530 SHERIDAN RD APT 2B
EVANSTON, IL 60202-3119
Phone number: 847-204-7919
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