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Individual

TONI BALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
920 UNIVERSITY ST, MARTIN, TN 38237-1605
(731) 588-5829
(731) 588-5834
Mailing address
PO BOX 640, MCMINNVILLE, TN 37111-0640
(931) 507-1212
(931) 507-1217

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000071151
TN

Other

Enumeration date
01/12/2012
Last updated
01/12/2012
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