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Individual
TERRYE MASTIN
Active
Individual
TERRYE MASTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,BC
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
APN6208
TN
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
TN6208
TN
Other
Enumeration date
07/06/2006
Last updated
02/14/2012
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