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1821842410
VICTOR EMERSON BOLIVAR
HOUSTON, TX
NPI
1821842410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-11
Last Update Date
2024-04-11
Business Address
VICTOR EMERSON BOLIVAR MD
6410 FANNIN ST STE 1400
HOUSTON, TX 77030-5389
Phone number: 832-325-7125
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Mailing Address
VICTOR EMERSON BOLIVAR MD
1140 W 25TH ST UNIT C
HOUSTON, TX 77008-1884
Phone number: 281-965-9883
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