Olvis Fred Bridge JR.

NPI 1174654560 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1174654560
Gender Male
Enumeration Date 03/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1325 LILLIUS ST
ABILENE TX, 79603, US
Phone (325) 677-6524
Fax
Business Location
1325 LILLIUS ST
ABILENE TX, 79603, US
Phone (325) 677-6524
Fax
Toxanomy
Taxonomy Code 311ZA0620X
License State
License Number
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According to our database, Mr. Olvis Fred Bridge JR. NPI is 1174654560, taxonomy code is 311ZA0620X Olvis Fred Bridge JR. physically located at 1325 Lillius St, Abilene TX, 79603. NPI Number Olvis Fred Bridge JR. has the Individual type.

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1174654560 NPI number is provided on an as is basis without warranty of any kind. 1174654560 is maintained by the National Plan & Provider Enumeration System. The contents of Olvis Fred Bridge JR. are for informational purposes only.