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1033942792
RUSTY LANE
KNOXVILLE, TN
NPI
1033942792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TN 262841)
Enumeration Date
2024-08-20
Last Update Date
2024-08-20
Business Address
RUSTY LANE RN
1515 SAINT MARY ST
KNOXVILLE, TN 37917-4503
Phone number: 800-255-9711
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Mailing Address
RUSTY LANE RN
200 TECH CENTER DR
KNOXVILLE, TN 37912-2747
Phone number: 865-637-9711
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