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Individual

NORMAN SAMPLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
1101 NEAL ST, COOKEVILLE, TN 38501-0901
(931) 528-8593
(931) 528-8214
Mailing address
104 ALPHA DR, MONTEREY, TN 38574-1520
(931) 839-2788

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
43407
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
43407
LPN LICENSE
TN
Enumeration date
10/06/2011
Last updated
10/06/2011
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