Individual
BRYAN BUO BOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8423 DUNLAP CT, ANCHORAGE, AK 99504-1475
(907) 350-2375
Mailing address
8423 DUNLAP CT, ANCHORAGE, AK 99504-1475
(907) 350-2375
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
101197
AK
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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