TEQUILA J STATEN

BOWLING GREEN, KY
NPI1043549918
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3006238)
Enumeration Date2009-12-23
Last Update Date2019-04-04
Business Address
Ms. TEQUILA J STATEN APRN
5796 NASHVILLE RD
BOWLING GREEN, KY 42101
Phone number: 270-781-6477
Mailing Address
Ms. TEQUILA J STATEN APRN
201 PARK ST
BOWLING GREEN, KY 42101-1759
Phone number: 270-781-5111
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