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1124899158
SOPHIA MARIE PASTRICK
KINGSPORT, TN
NPI
1124899158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 35004)
Enumeration Date
2024-01-09
Last Update Date
2024-01-09
Business Address
SOPHIA MARIE PASTRICK FNP-C
1 SHERIDAN SQ
KINGSPORT, TN 37660-7391
Phone number: 423-392-4884
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Mailing Address
SOPHIA MARIE PASTRICK FNP-C
4917 LEXINGTON LN
KINGSPORT, TN 37664-6520
Phone number: 423-782-6005
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