ANDREW BLAKE LUMMUS

JEFFERSON, TX
NPI1356901250
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AR  l060700)
Enumeration Date2019-06-13
Last Update Date2019-06-13
Business Address
ANDREW BLAKE LUMMUS
120 N WALNUT ST
JEFFERSON, TX 75657-1934
Phone number: 903-665-6131
Mailing Address
ANDREW BLAKE LUMMUS
PO BOX 901
JEFFERSON, TX 75657-0901
Phone number:
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