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1043662687
CROSSROADS CLINIC PLLC
OOLTEWAH, TN
NPI
1043662687
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Entity Type
Organization
Authorized Contact
SUSAN VERGOT
Owner
423-902-0681
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner Primary Care
Enumeration Date
2016-07-07
Last Update Date
2016-07-07
Business Address
CROSSROADS CLINIC PLLC
1667 OOLTEWAH RINGGOLD RD SUITE 111
OOLTEWAH, TN 37363-9830
Phone number: 423-825-4881
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Mailing Address
CROSSROADS CLINIC PLLC
1667 OOLTEWAH RINGGOLD RD SUITE 111
OOLTEWAH, TN 37363-9830
Phone number: 423-825-4881
Copy
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