MR. Jerry Lee Boles JR.

NPI #1639645211 in Central Point, Oregon

Provider Information

NPI Number
1639645211
Entity Type
Individual
Name
MR. Jerry Lee Boles JR.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Oct 22, 2018
Last Updated
Oct 22, 2018

Practice Location

Address
1026 BEALL LN
State
Oregon
ZIP Code
97502-2717
Phone
(541) 941-4085

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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