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1902999592
MARK EDWIN BOLTON
GRAND ISLAND, NE
NPI
1902999592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0203X Radiology, Therapeutic Radiology
(Licence: NE 18773)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
Dr. MARK EDWIN BOLTON Ph.D., M.D.
2116 W FAIDLEY AVE. DEPARTMENT OF RADIATION THERAPY
GRAND ISLAND, NE 68802-9804
Phone number: 308-398-5450
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Mailing Address
Dr. MARK EDWIN BOLTON Ph.D., M.D.
2116 W FAIDLEY AVE. DEPARTMENT OF RADIATION THERAPY
GRAND ISLAND, NE 68802-9804
Phone number: 308-398-5450
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