Individual
CLIFTON BOLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1459 DEARING FORD RD, ALTAVISTA, VA 24517-3033
(434) 485-9750
Mailing address
1459 DEARING FORD RD, ALTAVISTA, VA 24517-3033
(434) 485-9750
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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