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Individual

MRS. SHERRY BOLDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPHT

Contact information

Practice address
208 SUNCREST ST, SUITE1, GRAY, TN 37615-3494
(423) 477-3847
(423) 477-4392
Mailing address
112 PINEWAY CIR, JONESBOROUGH, TN 37659-3810
(423) 753-3875

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
290100104071955
TN

Other

Enumeration date
10/19/2006
Last updated
07/08/2007
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