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1881052504
ALLAN ANTHONY BOLIDO
FORT LEONARD WOOD, MO
NPI
1881052504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX AP128866)
Enumeration Date
2016-02-09
Last Update Date
2016-02-09
Business Address
-- ALLAN ANTHONY BOLIDO CRNA, DNP
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-8952
Phone number: 210-563-9539
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Mailing Address
-- ALLAN ANTHONY BOLIDO CRNA, DNP
126 SAW MILL RD
SAINT ROBERT, MO 65584-4711
Phone number: 210-563-9539
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