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1013315357
LISA BOLLES
NEWPORT, AR
NPI
1013315357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AR L041134)
Enumeration Date
2014-12-19
Last Update Date
2014-12-19
Business Address
-- LISA BOLLES LPN
210 THIRD ST
NEWPORT, AR 72112-3302
Phone number: 870-524-9496
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Mailing Address
-- LISA BOLLES LPN
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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