NICHOLAS FANNIN

TULLAHOMA, TN
NPI1144506254
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-11-02
Last Update Date2011-11-02
Business Address
-- NICHOLAS FANNIN
709 DAVIDSON ST
TULLAHOMA, TN 37388-3607
Phone number: 931-393-5900
Mailing Address
-- NICHOLAS FANNIN
5065 SHEPARDSVILLE HWY
BLOOMINGTON SPRINGS, TN 38545-7048
Phone number:
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