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1821615428
CRYSTAL BOLTON
DESOTO, TX
NPI
1821615428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 332849)
Enumeration Date
2020-06-30
Last Update Date
2020-06-30
Business Address
CRYSTAL BOLTON Lvn
1225 E PLEASANT RUN RD APT 1602
DESOTO, TX 75115-4248
Phone number: 318-787-4151
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Mailing Address
CRYSTAL BOLTON Lvn
163 VIENNA BEND DR
NATCHITOCHES, LA 71457-2830
Phone number:
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