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1104364496
JUSTIN LANCE KIRBY
CHATTANOOGA, TN
NPI
1104364496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 22286)
Enumeration Date
2017-02-07
Last Update Date
2021-12-22
Business Address
JUSTIN LANCE KIRBY
975 E 3RD ST HOSPITALIST
CHATTANOOGA, TN 37403-2147
Phone number: 423-778-5179
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Mailing Address
JUSTIN LANCE KIRBY
2205 MCCALLIE AVE STE 310
CHATTANOOGA, TN 37404-3334
Phone number: 423-698-2435
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