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Individual

MRS. VIRGINIA K STREET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 528-2541
(931) 528-2541
Mailing address
108 JOHN YOUNG LN, HILHAM, TN 38568-5927
(931) 310-3688
(931) 783-5226

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
96978
TN

Other

Enumeration date
05/08/2026
Last updated
05/08/2026
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