Individual
MRS. CAROL JOSEPHINE BOLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
1180 FETTER RD, LIMA, OH 45801-3318
(419) 222-7882
Mailing address
1180 FETTER RD, LIMA, OH 45801-3318
(419) 222-7882
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN256935
OH
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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