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1922853860
JOMON WELLNESS LLC
STANFORD, KY
NPI
1922853860
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Entity Type
Organization
Authorized Contact
TRACY BOLLER
Owner/Np
859-270-7767
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2024-04-23
Last Update Date
2024-04-23
Business Address
JOMON WELLNESS LLC
132 FRONTIER BLVD STE 103
STANFORD, KY 40484-6516
Phone number: 859-270-7767
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Mailing Address
JOMON WELLNESS LLC
216 SKYWATCH DR # 227
DANVILLE, KY 40422-2540
Phone number: 859-270-7767
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