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1770249856
SAMANTHA M BOCKUS
GRAND ISLE, VT
NPI
1770249856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: VT 025.0135891)
Enumeration Date
2021-11-12
Last Update Date
2021-11-12
Business Address
SAMANTHA M BOCKUS LPN
93 REYNOLDS RD
GRAND ISLE, VT 05458-2121
Phone number: 802-393-2401
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Mailing Address
SAMANTHA M BOCKUS LPN
93 REYNOLDS RD
GRAND ISLE, VT 05458-2121
Phone number: 802-393-2401
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