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Search › Arizona › 363A00000X

Jacqueline Bolin

NPI 1275119521 · on the registry since 2021 · sole proprietor

Practice

Address
1157 S Crismon Rd
Mesa, AZ 85208
Phone
(480) 776-3790
Organisation at this address
Crismon Road Dmso Llc
Arizona Dental Affiliates, Pllc
Banner Urgent Care Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
390200000X
Sex
Female
Record last updated
2022-01-10

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 Arizona