VETRES OREATHER STATUM

FORT CAMPBELL, KY
NPI1902043300
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TN  0000068878)
Enumeration Date2009-01-07
Last Update Date2009-01-07
Business Address
Ms. VETRES OREATHER STATUM LPN
650 JOEL DR YOUNG EAGLE CLINIC
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8258
Mailing Address
Ms. VETRES OREATHER STATUM LPN
650 JOEL DR YOUNG EAGLE CLINIC
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8258
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