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1851511505
TIMOTHY ADAM BOLEK
GRAND RAPIDS, MI
NPI
1851511505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2007-04-26
Last Update Date
2008-04-09
Business Address
-- TIMOTHY ADAM BOLEK PTA
2161 LEONARD ST NW
GRAND RAPIDS, MI 49504-3829
Phone number: 616-453-7715
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Mailing Address
-- TIMOTHY ADAM BOLEK PTA
1060 WALKER AVE NW
GRAND RAPIDS, MI 49504-4375
Phone number: 616-774-3967
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