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1063806677
CALLIE CROCKETT
MOUNTAIN HOME, TN
NPI
1063806677
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN 19776)
Enumeration Date
2015-03-20
Last Update Date
2023-08-21
Business Address
CALLIE CROCKETT
LAMONT STREET AND VETERANS WAY
MOUNTAIN HOME, TN 37684-2523
Phone number: 423-926-1171
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Mailing Address
CALLIE CROCKETT
LAMONT STREET AND VETERANS WAY
MOUNTAIN HOME, TN 37684
Phone number: 423-926-1171
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