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1164275566
KALI RENEE RUTHERFORD
JACKSBORO, TN
NPI
1164275566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363A00000X Physician Assistant
(Licence: TN 5906)
Enumeration Date
2024-04-08
Last Update Date
2024-04-10
Business Address
KALI RENEE RUTHERFORD PA
2707 JACKSBORO PIKE STE 2
JACKSBORO, TN 37757-2752
Phone number: 423-437-8576
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Mailing Address
KALI RENEE RUTHERFORD PA
2055 GATEHOUSE LN
POWELL, TN 37849-6301
Phone number: 865-202-3252
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