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Individual

BYRON JAN HARTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
717 E 11TH ST, CHATTANOOGA, TN 37403-3104
(423) 265-5708
Mailing address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 265-5708

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
102042
TN
163WC1500X
Community Health Registered Nurse
Primary
102042
TN

Other

Enumeration date
02/25/2010
Last updated
02/25/2010
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