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Individual

DR. REX WARREN BOLIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 LILLY RD NE,, SUITE 201, OLYMPIA, WA 98506-5197
(360) 413-8272
(360) 413-8878
Mailing address
500 LILLY RD NE,, SUITE 201, OLYMPIA, WA 98506-5197
(360) 413-8272
(360) 413-8878

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00021638
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8609307
WA
Enumeration date
04/11/2006
Last updated
07/09/2007
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