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1912370842
MICHAEL BOLISAY
VENTURA, CA
NPI
1912370842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 278713)
Enumeration Date
2015-10-30
Last Update Date
2016-01-05
Business Address
-- MICHAEL BOLISAY
5740 RALSTON ST SUITE 100
VENTURA, CA 93003-6051
Phone number: 805-339-3739
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Mailing Address
-- MICHAEL BOLISAY
5740 RALSTON ST SUITE 100
VENTURA, CA 93003-6051
Phone number: 805-339-3739
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