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1932756574
PHILLIP BOLAN
SALEM, OH
NPI
1932756574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OH pta012385)
Enumeration Date
2019-08-19
Last Update Date
2019-08-19
Business Address
PHILLIP BOLAN PTA
451 VALLEY RD
SALEM, OH 44460-9725
Phone number: 330-537-4621
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Mailing Address
PHILLIP BOLAN PTA
46367 MILL ST
ROGERS, OH 44455-8712
Phone number: 330-708-0594
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