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Individual

BOLIS BATOU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2647 FOOTHILL BLVD, LA CRESCENTA, CA 91214-3511
(818) 248-1016
(818) 248-0023
Mailing address
2647 FOOTHILL BLVD, LA CRESCENTA, CA 91214-3511
(818) 248-1016
(818) 248-0023

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46884
CA

Other

Enumeration date
06/13/2010
Last updated
06/13/2010
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