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1093344475
ANTHONY COLE MICETICH
NASHVILLE, TN
NPI
1093344475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-07
Last Update Date
2021-06-19
Business Address
Dr. ANTHONY COLE MICETICH MD
1161 21ST AVE S
NASHVILLE, TN 37232-0001
Phone number: 615-343-2617
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Mailing Address
Dr. ANTHONY COLE MICETICH MD
1161 21ST AVE S
NASHVILLE, TN 37232-0001
Phone number: 615-343-2617
Copy
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