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Individual

CAROLYN SUE VINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
117 COUNTY ROAD 109, SWEETWATER, TX 79556-3627
(325) 439-8978
Mailing address
117 COUNTY ROAD 109, SWEETWATER, TX 79556-3627
(325) 439-8978

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
210126
TX
164X00000X
Licensed Vocational Nurse
210126
TX

Other

Enumeration date
02/22/2018
Last updated
02/22/2018
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