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1487133690
VONLISA BATES BENNETT
JEFFERSON, TX
NPI
1487133690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 326575)
Enumeration Date
2018-08-08
Last Update Date
2018-08-08
Business Address
VONLISA BATES BENNETT
120 N WALNUT ST
JEFFERSON, TX 75657-1934
Phone number: 903-665-6131
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Mailing Address
VONLISA BATES BENNETT
PO BOX 901
JEFFERSON, TX 75657-0901
Phone number: 903-665-6131
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