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1124214101
ALTA RUTH EBERT
CHATTANOOGA, TN
NPI
1124214101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 0000012626)
Enumeration Date
2007-09-24
Last Update Date
2016-03-16
Business Address
Mrs. ALTA RUTH EBERT 0000012626
730 E 11TH ST
CHATTANOOGA, TN 37403-3103
Phone number: 423-265-5708
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Mailing Address
Mrs. ALTA RUTH EBERT 0000012626
730 E 11TH ST
CHATTANOOGA, TN 37403-3103
Phone number: 423-265-5708
Copy
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