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Individual

ELIZABETH ANN BOLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-120444
AL

Other

Enumeration date
11/24/2016
Last updated
07/21/2022
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