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1053603258
CRYSTAL G MOSES
LENOIR CITY, TN
NPI
1053603258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TN 15813)
Enumeration Date
2011-05-05
Last Update Date
2011-05-05
Business Address
-- CRYSTAL G MOSES CPNP
125 TOWN CREEK RD E SUITE 2B
LENOIR CITY, TN 37772-5690
Phone number: 865-986-1400
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Mailing Address
-- CRYSTAL G MOSES CPNP
125 TOWN CREEK RD E SUITE 2B
LENOIR CITY, TN 37772-5690
Phone number: 865-986-1400
Copy
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