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Individual

MICHAEL ELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
5123 CLOISTER DR, MURFREESBORO, TN 37128-3901
(512) 828-2528
Mailing address
5123 CLOISTER DR, MURFREESBORO, TN 37128-3901
(512) 828-2528

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000080742
TX

Other

Enumeration date
08/25/2016
Last updated
08/25/2016
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