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Individual
THEODORE J BOLLARD
Active
Individual
THEODORE J BOLLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP-FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
247749
AZ
Other
Enumeration date
03/26/2021
Last updated
04/04/2026
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