Individual
BONNIE MICHELLE ABEL BOLASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC.
Contact information
Practice address
4060 HAMPSHIRE AVE N, CRYSTAL, MN 55427-1443
(763) 537-4955
Mailing address
4060 HAMPSHIRE AVE N, CRYSTAL, MN 55427-1443
(763) 504-9483
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1176
MN
Other
Enumeration date
05/30/2007
Last updated
01/11/2008
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