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1861427197
ANDREA ELLIE BOLOGNA
ADDISON, TX
NPI
1861427197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: TX 10196)
Enumeration Date
2006-07-12
Last Update Date
2007-07-08
Business Address
Dr. ANDREA ELLIE BOLOGNA DC
4540 BELT LINE ROAD
ADDISON, TX 75001
Phone number: 972-789-9333
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Mailing Address
Dr. ANDREA ELLIE BOLOGNA DC
10429 N MACARTHUR BLVD APT 161
IRVING, TX 75063
Phone number: 214-801-2977
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