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1730326117
BOLATITO OMOLARA THOMPSON-VAIL
FORT CAMPBELL, KY
NPI
1730326117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN lpn0000060422)
Enumeration Date
2009-01-07
Last Update Date
2009-01-07
Business Address
Ms. BOLATITO OMOLARA THOMPSON-VAIL LPN
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8258
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Mailing Address
Ms. BOLATITO OMOLARA THOMPSON-VAIL LPN
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8258
Copy
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