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Individual

JULIANNE C BOLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
509 GROVE ST, WAKEFIELD, KS 67487-9159
(785) 461-5471
Mailing address
509 GROVE ST, WAKEFIELD, KS 67487-9159
(785) 461-5471

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
385
KS

Other

Enumeration date
11/11/2012
Last updated
11/11/2012
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