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1134497787
TED ALLAN WHITE
JOHNSON CITY, TN
NPI
1134497787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TN 16367)
Enumeration Date
2011-12-12
Last Update Date
2017-02-28
Business Address
Mr. TED ALLAN WHITE ANP-BC
410 N STATE OF FRANKLIN RD SUITE 130
JOHNSON CITY, TN 37604-6971
Phone number: 423-431-2477
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Mailing Address
Mr. TED ALLAN WHITE ANP-BC
410 N STATE OF FRANKLIN RD SUITE 130
JOHNSON CITY, TN 37604-6971
Phone number: 423-431-2477
Copy
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