Individual
MR. DONALD WILLIAM JARVIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
BLDG. 5979 DESERT STORM AVE., LAPOINTE HEALTH CLINIC, FT. CAMPBELL, KY 42223-5349
(270) 956-0301
Mailing address
BLDG. 5979 DESERT STORM AVE., LAPOINTE HEALTH CLINIC, FT. CAMPBELL, KY 42223
(270) 956-0301
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
50728
TN
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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