RUSSELL EDWARD PROFFITT

KINGSPORT, TN
NPI1124440128
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  18164)
Enumeration Date2014-01-09
Last Update Date2014-05-06
Business Address
RUSSELL EDWARD PROFFITT CRNA, RN, BSN
2601 N JOHN B DENNIS HWY APT. 1001
KINGSPORT, TN 37660-0812
Phone number: 423-315-9306
Mailing Address
RUSSELL EDWARD PROFFITT CRNA, RN, BSN
2601 N JOHN B DENNIS HWY APT. 1001
KINGSPORT, TN 37660-0812
Phone number: 423-315-9306
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