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Individual

SANDRA JEAN PRATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
201 DOOLEY ST SE, CLEVELAND, TN 37311-6220
(423) 728-7020
(423) 479-6130
Mailing address
150 SERENITY DR SE, CLEVELAND, TN 37323-6913
(423) 339-0128

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0000145149
TN

Other

Enumeration date
05/07/2007
Last updated
07/08/2007
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