Individual
NICHOL OOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 215-5354
Mailing address
103 HARLAND CT, OAK RIDGE, TN 37830-7904
(865) 806-0720
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
3585
TN
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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