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Individual

MRS. RYAN HORNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
209 N BELLS ST, ALAMO, TN 38001-1755
(731) 696-2505
Mailing address
202 W 15TH ST, TRENTON, TN 38382-3621
(731) 414-2059

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0000208688
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
626001445
HEALTH DEPARTMENT
TN
Enumeration date
04/24/2018
Last updated
04/24/2018
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