Individual
AMBER E BOLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3983 CLOVERDALE RD, MEDWAY, OH 45341-8726
(937) 207-5590
Mailing address
3983 CLOVERDALE RD, MEDWAY, OH 45341-8726
(937) 207-5590
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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