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1700531431
JANUARY LANIECE BOMAR
KNOXVILLE, TN
NPI
1700531431
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN 96745)
Enumeration Date
2022-02-22
Last Update Date
2022-02-22
Business Address
JANUARY LANIECE BOMAR LPN
1754 TEXAS AVE
KNOXVILLE, TN 37921-2513
Phone number: 865-934-6165
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Mailing Address
JANUARY LANIECE BOMAR LPN
1923 SULPHUR SPRINGS RD
MORRISTOWN, TN 37813-5654
Phone number: 423-317-9344
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