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1104245638
TREY VANZANT
KINGSPORT, TN
NPI
1104245638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 170310)
Enumeration Date
2014-04-13
Last Update Date
2017-04-21
Business Address
-- TREY VANZANT CRNA
130 W RAVINE RD
KINGSPORT, TN 37660-3837
Phone number: 423-224-4000
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Mailing Address
-- TREY VANZANT CRNA
105 W STONE DR SUITE 6A
KINGSPORT, TN 37660-3365
Phone number: 423-408-7220
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