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Individual
JOHN MARK OLIVER
Active
Individual
JOHN MARK OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201475
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
30078
TN
Other
Enumeration date
03/13/2019
Last updated
03/28/2022
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