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1720566292
JAMES M WILLTROUT
TYLER, TX
NPI
1720566292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 199566)
Enumeration Date
2018-08-06
Last Update Date
2018-08-06
Business Address
JAMES M WILLTROUT
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-525-8001
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Mailing Address
JAMES M WILLTROUT
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-525-8001
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