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Individual

MR. TROY ANTHONY BOLDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
302 DULLES DRIVE, LAFAYETTE, LA 70506
(337) 262-4161
Mailing address
232 IVORY STREET, LAFAYETTE, LA 70506
(337) 504-2498

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
096938
LA

Other

Enumeration date
02/02/2007
Last updated
07/08/2007
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