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Organization

NURSEPROFESSIONALS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABIGAL THOMAS (SUPERVISOR)
(713) 979-2603
Entity
Organization

Contact information

Practice address
2901 PEERLESS ROAD, CLEVELAND, TN 37312
(423) 728-2562
Mailing address
1955 JORDAN AVE NW, CLEVELAND, TN 37311-1937
(423) 303-0162

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
59832
TN

Other

Enumeration date
06/24/2017
Last updated
06/24/2017
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