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1790182236
MICHAEL PATRICK BOLTIN
LEXINGTON, SC
NPI
1790182236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 2874)
Enumeration Date
2014-11-26
Last Update Date
2014-11-26
Business Address
MICHAEL PATRICK BOLTIN
212 ROBIN RD
LEXINGTON, SC 29073-9413
Phone number: 843-253-6781
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Mailing Address
MICHAEL PATRICK BOLTIN
212 ROBIN RD
LEXINGTON, SC 29073-9413
Phone number: 843-253-6781
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