Jeanette Bolte

NPI #1790141109 in Vinita, Oklahoma

Provider Information

NPI Number: 1790141109
Entity Type: Individual
Name: Jeanette Bolte
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Jan 14, 2016
Last Updated: Jan 14, 2016

Practice Location

Address: 405 E EXCELSIOR AVE
City: Vinita
State: Oklahoma
ZIP Code: 74301-4226
Phone: (918) 256-6476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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