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1881022317
JEFFERY MICHAEL BOLES
LAS VEGAS, NV
NPI
1881022317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-10-18
Last Update Date
2013-10-18
Business Address
-- JEFFERY MICHAEL BOLES
5145 RAWHIDE ST APT 167
LAS VEGAS, NV 89122-4806
Phone number: 702-372-4715
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Mailing Address
-- JEFFERY MICHAEL BOLES
5145 RAWHIDE ST APT 167
LAS VEGAS, NV 89122-4806
Phone number: 702-372-4715
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