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1922796515
EDDIE BOLES
WAYNE, MI
NPI
1922796515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-05-01
Last Update Date
2023-07-27
Business Address
EDDIE BOLES
35425 W MICHIGAN AVE
WAYNE, MI 48184-9800
Phone number: 734-460-5242
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Mailing Address
EDDIE BOLES
35425 W MICHIGAN AVE
WAYNE, MI 48184-9800
Phone number: 734-460-5242
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