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1124867130
CHELSEA M THACKER
JACKSBORO, TN
NPI
1124867130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 5992)
Enumeration Date
2024-05-20
Last Update Date
2024-10-31
Business Address
CHELSEA M THACKER PA-C
2702 JACKSBORO PIKE
JACKSBORO, TN 37757-4850
Phone number: 423-201-9937
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Mailing Address
CHELSEA M THACKER PA-C
2702 JACKSBORO PIKE
JACKSBORO, TN 37757-4850
Phone number:
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