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1184811473
ELIZABETH LEILANI MCNUTT
KINGSPORT, TN
NPI
1184811473
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Former Name
ELIZABETH LEILANI COOPER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-10-01
Last Update Date
2007-10-01
Business Address
ELIZABETH LEILANI MCNUTT BS
1570 WAVERLY RD
KINGSPORT, TN 37664-2523
Phone number: 423-224-1300
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Mailing Address
ELIZABETH LEILANI MCNUTT BS
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600
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