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1134714090
KELSEY B DEVAULT
JOHNSON CITY, TN
NPI
1134714090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 29146)
Enumeration Date
2021-03-03
Last Update Date
2024-09-16
Business Address
KELSEY B DEVAULT NP
121 BOONE RIDGE DR STE 1004
JOHNSON CITY, TN 37615-4993
Phone number: 423-794-5988
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Mailing Address
KELSEY B DEVAULT NP
121 BOONE RIDGE DR STE 1004
JOHNSON CITY, TN 37615-4993
Phone number: 423-794-5988
Copy
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