Carli Bogolub
NPI #1770318891 in Fort Bliss, Texas
Provider Information
- NPI Number
- 1770318891
- Entity Type
- Individual
- Name
- Carli Bogolub
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Other
- Enumeration Date
- Sep 6, 2024
- Last Updated
- Sep 6, 2024
Practice Location
- Address
- 18511 HIGHLANDER MEDICS ST
- City
- Fort Bliss
- State
- Texas
- ZIP Code
- 79906-5327
- Phone
- (847) 848-0602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other |
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