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MRS. ELIZABETH MARCIE DOUGLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
412 CITICO ST, KNOXVILLE, TN 37921-5811
(865) 522-0661
Mailing address
412 CITICO ST, KNOXVILLE, TN 37921-5811
(865) 522-0661

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000076848
TN

Other

Enumeration date
08/28/2013
Last updated
08/28/2013
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