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Individual

ANNA BOLTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
800 LAKESHORE DR, BIRMINGHAM, AL 35229-0001
(205) 726-2101
Mailing address
41 OVERBROOK RD, MOUNTAIN BRK, AL 35213-4313

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
05/24/2019
Last updated
05/24/2019
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