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1295437234
LASHASTA K BOLDEN
RIPLEY, TN
NPI
1295437234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 3767)
Enumeration Date
2023-03-21
Last Update Date
2023-03-21
Business Address
LASHASTA K BOLDEN
118 HALLIBURTON ST
RIPLEY, TN 38063-2011
Phone number: 731-635-5180
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Mailing Address
LASHASTA K BOLDEN
245 MURDOCK CV
RIDGELY, TN 38080-1509
Phone number: 731-259-7738
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