Tomasina Denise Bruns LPN

NPI 1932392842 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1932392842
Gender Female
Enumeration Date 08/23/2007
Last Updated 08/23/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
205 E 6TH ST
PANA IL, 62557-1827, US
Phone (217) 820-9280
Fax
Business Location
PO BOX 354
PANA IL, 62557-0354, US
Phone (217) 820-9280
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Louisiana
License Number 272534
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According to our database, Tomasina Denise Bruns LPN NPI is 1932392842, taxonomy code is 164W00000X and license number is 272534, license state is located at Louisiana. Tomasina Denise Bruns LPN physically located at 205 E 6th St, Pana IL, 62557-1827. NPI Number Tomasina Denise Bruns LPN has the Individual type.

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1932392842 NPI number is provided on an as is basis without warranty of any kind. 1932392842 is maintained by the National Plan & Provider Enumeration System. The contents of Tomasina Denise Bruns LPN are for informational purposes only.