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1871776930
KURT E BOLTON
TACOMA, WA
NPI
1871776930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WA cp00002762)
Enumeration Date
2007-12-12
Last Update Date
2007-12-12
Business Address
Mr. KURT E BOLTON cdp
514 S 13TH ST
TACOMA, WA 98402-1908
Phone number: 253-732-9655
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Mailing Address
Mr. KURT E BOLTON cdp
514 S 13TH ST
TACOMA, WA 98402-1908
Phone number: 253-732-9655
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