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Individual
RAN BOLEN
Active
Individual
RAN BOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
AP136199
TX
282NR1301X
Rural Acute Care Hospital
AP136199
TX
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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