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Individual

BARBARA DAWN BAUSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN, MS,CCRN-CMC

Contact information

Practice address
130 W RAVINE RD, WELLMONT HOLSTON VALLEY MEDICAL CENTER, KINGSPORT, TN 37660-3837
(423) 224-6220
Mailing address
4041 LAKE FOREST DR, KINGSPORT, TN 37663-3773
(423) 239-3783

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
135278
TN

Other

Enumeration date
10/13/2009
Last updated
10/13/2009
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