Individual
DEBORAH MARIE CONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 DECATUR PIKE, ATHENS, TN 37303-4984
(423) 744-0282
(423) 745-9653
Mailing address
2517 OVERBROOK CIR NW, CLEVELAND, TN 37312-2066
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33426
TN
Other
Enumeration date
03/27/2010
Last updated
03/27/2010
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