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Individual

DR. VINCENT C. BUBOLO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3195 ACWORTH DUE WEST RD NW, STE. B, KENNESAW, GA 30152-2313
(770) 975-1299
(770) 975-1361
Mailing address
3195 ACWORTH DUE WEST RD NW, STE. B, KENNESAW, GA 30152-2313
(770) 975-1299
(770) 975-1361

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6956
GA

Other

Enumeration date
05/16/2006
Last updated
07/08/2007
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