Individual
BOLANLE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSMT(AMT), MPH
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
GA
174H00000X
Health Educator
—
MN
246QL0900X
Laboratory Management Specialist/Technologist
154643
IL
246QM0706X
Medical Technologist
Primary
154643
IL
246ZB0600X
Biostatiscian
154643
IL
Other
Enumeration date
09/10/2013
Last updated
07/01/2014
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