Individual
BRANDON JAMES BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 LAURENCE AVE, JACKSON, MI 49202-2979
(517) 750-4777
(517) 782-4717
Mailing address
3121 FAWN LN, JACKSON, MI 49201-9066
(517) 435-5797
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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