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1942856216
MICHAEL DWAYNE BOLTON
FLINT, MI
NPI
1942856216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-08-13
Last Update Date
2019-08-13
Business Address
Mr. MICHAEL DWAYNE BOLTON
765 E HAMILTON AVE
FLINT, MI 48505-4707
Phone number: 810-233-5340
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Mailing Address
Mr. MICHAEL DWAYNE BOLTON
765 E HAMILTON AVE
FLINT, MI 48505-4707
Phone number: 810-233-5340
Copy
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