BRUCE WALTER FILLERS

JOHNSON CITY, TN
NPI1588805097
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TN  LPN0000039119)
Enumeration Date2009-03-12
Last Update Date2009-03-12
Business Address
-- BRUCE WALTER FILLERS LPN
900 BUFFALO ST
JOHNSON CITY, TN 37604-6720
Phone number: 423-232-4130
Mailing Address
-- BRUCE WALTER FILLERS LPN
1167 SPRATLIN PARK DR
GRAY, TN 37615-6205
Phone number: 423-467-3721
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