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1902331184
BRYAN A BOLSER
URBANA, IL
NPI
1902331184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209015927)
Enumeration Date
2017-04-26
Last Update Date
2017-04-26
Business Address
-- BRYAN A BOLSER NP
611 W PARK ST EMERGENCY MEDICINE
URBANA, IL 61801-2529
Phone number: 217-383-3311
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Mailing Address
-- BRYAN A BOLSER NP
611 W PARK ST BWPC
URBANA, IL 61801-2529
Phone number: 217-383-6792
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