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1619599735
BRIAN GLEN WOMBLES
KILLEEN, TX
NPI
1619599735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: KY 2035078)
Enumeration Date
2020-05-12
Last Update Date
2020-05-12
Business Address
BRIAN GLEN WOMBLES
5016 WATERCREST RD APT 9104
KILLEEN, TX 76549-6380
Phone number: 270-707-6146
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Mailing Address
BRIAN GLEN WOMBLES
5016 WATERCREST RD APT 9104
KILLEEN, TX 76549-6380
Phone number: 270-707-6146
Copy
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