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Individual

DAVID LEROY BOLLINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
H.I.S

Contact information

Practice address
915 SOUTHWEST BLVD, F, JEFFERSON CITY, MO 65109-5014
(573) 556-8700
Mailing address
904 THOMPSON BLVD, SEDALIA, MO 65301-2241
(660) 826-3700

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2008036746
MO

Other

Enumeration date
12/09/2009
Last updated
03/31/2014
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