TERRELL MCCOLLOUGH

POPLAR BLUFF, MO
NPI1689079717
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MO  2013036154)
Enumeration Date2014-10-31
Last Update Date2014-10-31
Business Address
-- TERRELL MCCOLLOUGH LPN
1369 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901-3313
Phone number: 573-772-7937
Mailing Address
-- TERRELL MCCOLLOUGH LPN
2558 BROWNWOOD CT
POPLAR BLUFF, MO 63901-2656
Phone number: