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Individual

KYLA BOLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC

Contact information

Practice address
5115 N RAVENSWOOD AVE, CHICAGO, IL 60640-2712
(773) 727-5042
Mailing address
5115 N RAVENSWOOD AVE, CHICAGO, IL 60640-2712
(773) 727-5042

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.000840
IL

Other

Enumeration date
08/21/2009
Last updated
08/21/2009
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