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1134666191
THERESA ANN GROOMES
BRISTOL, TN
NPI
1134666191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 22121)
Enumeration Date
2017-01-27
Last Update Date
2018-03-17
Business Address
THERESA ANN GROOMES NP
1 MEDICAL PARK BLVD STE 350W
BRISTOL, TN 37620-7471
Phone number: 423-282-1480
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Mailing Address
THERESA ANN GROOMES NP
PO BOX 4018
JOHNSON CITY, TN 37602-4018
Phone number: 423-282-1480
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