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Individual

DEEDRA L FLOURNOY-WEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1811 DALTON ST, ALCOA, TN 37701-2335
(186) 536-3484
Mailing address
1811 DALTON ST, ALCOA, TN 37701-2335
(865) 363-4845

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
TN

Other

Enumeration date
12/29/2020
Last updated
12/29/2020
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