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1205165651
EVAN WITHERINGTON
CLARKSVILLE, TN
NPI
1205165651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN 15617)
Enumeration Date
2009-12-14
Last Update Date
2011-10-10
Business Address
-- EVAN WITHERINGTON PMHNP-BC
511 8TH ST
CLARKSVILLE, TN 37040-3093
Phone number: 931-920-7200
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Mailing Address
-- EVAN WITHERINGTON PMHNP-BC
600 12TH AVE S APT 607
NASHVILLE, TN 37203-6632
Phone number: 615-779-1995
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