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Individual
LAUREN E BOLIN
Active
Individual
LAUREN E BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1031
AR
363A00000X
Physician Assistant
PA06131
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202531401
—
TX
Enumeration date
05/06/2009
Last updated
08/02/2023
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