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Individual
MICHEAL E BOLES
Active
Individual
MICHEAL E BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD APRN BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN6428
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511326
—
TN
01
—
4343158
BCTN
TN
Enumeration date
09/19/2006
Last updated
11/06/2017
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