JUSTIN MICHAEL UPHOLD

MADISON, TN
NPI1326504150
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TN  LPN0000091325)
Enumeration Date2019-02-18
Last Update Date2019-02-18
Business Address
Mr. JUSTIN MICHAEL UPHOLD LPN
620 GALLATIN PIKE S
MADISON, TN 37115-4013
Phone number: 615-460-4300
Mailing Address
Mr. JUSTIN MICHAEL UPHOLD LPN
620 GALLATIN PIKE S
MADISON, TN 37115-4013
Phone number: 615-460-4300
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