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1891447298
CRYSTAL ANNE BOLOS
SHELBY TOWNSHIP, MI
NPI
1891447298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 2021100905)
Enumeration Date
2022-01-26
Last Update Date
2022-01-26
Business Address
Mrs. CRYSTAL ANNE BOLOS FNP-BC
6300 22 MILE RD STE 2
SHELBY TOWNSHIP, MI 48317-2106
Phone number: 586-726-9860
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Mailing Address
Mrs. CRYSTAL ANNE BOLOS FNP-BC
11800 E 12 MILE RD
WARREN, MI 48093-3472
Phone number: 586-573-5111
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