DAVID QUALLS

LAKELAND, FL
NPI1255749743
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  PN1175731)
Enumeration Date2014-07-28
Last Update Date2016-05-23
Business Address
-- DAVID QUALLS LPN
1835 GILMORE AVE
LAKELAND, FL 33805-3017
Phone number: 863-519-0575
Mailing Address
-- DAVID QUALLS LPN
PO BOX 1559
BARTOW, FL 33831-1559
Phone number:
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