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1083750590
STANLEY LEE RIDNER
JOHNSON CITY, TN
NPI
1083750590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 23528)
Enumeration Date
2007-01-30
Last Update Date
2018-01-22
Business Address
STANLEY LEE RIDNER
365 STOUT DRIVE SUITE 160
JOHNSON CITY, TN 37614
Phone number: 423-439-4225
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Mailing Address
STANLEY LEE RIDNER
501 E BROADWAY 290
LOUISVILLE, KY 40202-1785
Phone number: 502-217-5134
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