IVA JEAN BOLMAN

LOWER BRULE, SD
NPI1336328574
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: SD  003859)
Enumeration Date2007-10-24
Last Update Date2007-10-24
Business Address
-- IVA JEAN BOLMAN LPN
601 GALL ST.
LOWER BRULE, SD 57548
Phone number: 605-473-0852
Mailing Address
-- IVA JEAN BOLMAN LPN
BOX 18 RR 8 HC5
RELIANCE, SD 57369
Phone number: 605-473-0852
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