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1093018541
TERRA KING
COOKEVILLE, TN
NPI
1093018541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: TN 11247)
Enumeration Date
2010-12-06
Last Update Date
2023-03-07
Business Address
TERRA KING CPNP
758 S WILLOW AVE
COOKEVILLE, TN 38501-3840
Phone number: 931-526-6173
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Mailing Address
TERRA KING CPNP
758 S WILLOW AVE
COOKEVILLE, TN 38501-3840
Phone number: 931-526-6173
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