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1053748863
BETHANY KOSSICK SEALE
KINGSPORT, TN
NPI
1053748863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 17975)
Enumeration Date
2013-10-11
Last Update Date
2014-10-20
Business Address
-- BETHANY KOSSICK SEALE CRNA
130 W RAVINE RD
KINGSPORT, TN 37660-3837
Phone number: 423-224-5711
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Mailing Address
-- BETHANY KOSSICK SEALE CRNA
105 W STONE DR SUITE 6A
KINGSPORT, TN 37660-3365
Phone number: 423-408-7720
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