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Individual

MRS. ROSALYN TAYLOR LASTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN. ES

Contact information

Practice address
149 N 12TH AVE, HUMBOLDT, TN 38343-2879
(731) 784-5491
(731) 784-1726
Mailing address
149 N 12TH AVE, HUMBOLDT, TN 38343-2879
(731) 784-5491
(731) 784-1726

Taxonomy

Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
APN0000011440
TN

Other

Enumeration date
02/21/2007
Last updated
07/08/2007
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