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Dorthie Bolden
NPI 1235789553 · on the registry since 2019 · sole proprietor
Practice
- Address
- 7027 Baseline Rd
South Haven, MI 49090 - Phone
- (269) 214-2142
- Organisation at this address
- Bolden Afc Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 253J00000X
253J00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan