RUSSELL WAYNE TOLLIVER

JACKSONVILLE, FL
NPI1972796175
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
Enumeration Date2007-08-21
Last Update Date2007-08-21
Business Address
Mr. RUSSELL WAYNE TOLLIVER
4083 SUNBEAM RD APARTMENT 1409
JACKSONVILLE, FL 32257-8993
Phone number: 904-733-1338
Mailing Address
Mr. RUSSELL WAYNE TOLLIVER
4083 SUNBEAM RD APARTMENT 1409
JACKSONVILLE, FL 32257-8993
Phone number: 904-733-1338
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