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1518103258
LATASHA WILKERSON
FORT CAMPBELL, KY
NPI
1518103258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: KY 2041559)
Enumeration Date
2008-12-31
Last Update Date
2008-12-31
Business Address
LATASHA WILKERSON LPN
5979 DESERT STORM AVE
FORT CAMPBELL, KY 42223-5585
Phone number: 270-956-0303
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Mailing Address
LATASHA WILKERSON LPN
5979 DESERT STORM AVE
FORT CAMPBELL, KY 42223-5585
Phone number: 270-956-0303
Copy
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