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Individual

MR. BRETT ALLEN BOLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4357
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-3381

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
363A00000X
Physician Assistant
Primary

Other

Enumeration date
10/26/2015
Last updated
02/22/2024
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