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1205425048
BRAD A BROYLES
JOHNSON CITY, TN
NPI
1205425048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TN 192310)
Enumeration Date
2021-01-15
Last Update Date
2021-01-15
Business Address
BRAD A BROYLES
809 LAMONT ST
JOHNSON CITY, TN 37604-5453
Phone number: 423-926-1171
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Mailing Address
BRAD A BROYLES
809 LAMONT ST
JOHNSON CITY, TN 37604-5453
Phone number: 423-926-1171
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