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Individual

MRS. REBEKAH LEEANN ADKISON-YATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2241 THORNTON TAYLOR PKWY, FAYETTEVILLE, TN 37334-3637
(931) 433-6456
(931) 433-8911
Mailing address
2241 THORNTON TAYLOR PKWY, FAYETTEVILLE, TN 37334-3637
(931) 433-6456
(931) 433-8911

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
66776
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
66776
LPN LICENSE
TN
Enumeration date
11/17/2008
Last updated
11/17/2008
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