Tamara Bolar

NPI #1871075143 in Waynoka, Oklahoma

Provider Information

NPI Number: 1871075143
Entity Type: Individual
Name: Tamara Bolar
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Sep 4, 2018
Last Updated: Sep 4, 2018

Practice Location

Address: 1095 NICKERSON ST
City: Waynoka
State: Oklahoma
ZIP Code: 73860-1252
Phone: (580) 824-0674

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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