IVAN LIONEL PICKLE

JOHNSON CITY, TN
NPI1891239349
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TN  32270)
Enumeration Date2016-12-16
Last Update Date2016-12-16
Business Address
-- IVAN LIONEL PICKLE LPN
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6035
Phone number: 423-431-1410
Mailing Address
-- IVAN LIONEL PICKLE LPN
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6035
Phone number: 423-431-1410
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