Individual
NOUHOUM BOLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5342 E 21ST ST, INDIANAPOLIS, IN 46218-5093
(317) 355-3602
Mailing address
6950 HILLSDALE CT, INDIANAPOLIS, IN 46250-2040
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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