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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LARRY PAUL BOLAIN II

Active Sole Proprietor

LARRY PAUL BOLAIN II is a Peer Specialist healthcare provider located in SAPULPA, Oklahoma. NPI 1477390649 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · SAPULPA, OK

Registration Details

NPI Number
1477390649
Provider Type
Individual
Gender
Male
NPI Issued
Jul 13, 2024 (2.0655635719625 yrs)
Last Updated
Jul 13, 2024
Sole Proprietor
Yes

Practice Information

Address
11680 S 153RD WEST AVE
SAPULPA, OK, 740668564
Browse OK providers · Browse ZIP 74066
Phone
9188892310
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in SAPULPA, OK

Name Credential NPI
JOHN DAVID LAND 1093110611
AMY BINA 1184094468
REBECCA GRAY 1841824364
JORDAN PATTY 1336763945
SYLVESTER HARRIS III 1578161881
SUE ANN DAY 1598355331
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.