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1134588353
JOSHUA DALE SMITH
KINGSPORT, TN
NPI
1134588353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 20838)
Enumeration Date
2016-02-16
Last Update Date
2020-03-31
Business Address
Mr. JOSHUA DALE SMITH FNP
430 W RAVINE RD
KINGSPORT, TN 37660-3868
Phone number: 423-245-3161
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Mailing Address
Mr. JOSHUA DALE SMITH FNP
430 W RAVINE RD
KINGSPORT, TN 37660-3868
Phone number: 423-245-3161
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