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Individual

MS. CRYSTAL L CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
330 PAGEANT LN, CLARKSVILLE, TN 37040-3854
(931) 648-5747
Mailing address
330 PAGEANT LN, P. O. BOX 1026, CLARKSVILLE, TN 37040-3854
(931) 648-5747

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1108054
KY

Other

Enumeration date
09/10/2008
Last updated
09/10/2008
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