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Individual

LAURA RAY CRABTREE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 934-6100
(865) 342-0100
Mailing address
6350 W ANDREW JOHNSON HWY DEPT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN89072
TN

Other

Enumeration date
11/08/2017
Last updated
11/08/2017
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